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General NPI Number Information
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NPI Number | 1003635327
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Entity Type | Organization
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Legal Business Name | BREATHE360 LLC
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Dates
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Enumeration Date | 10/03/2024
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 107 N BRIDGE ST
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City | ELKTON
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State | MD
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Zip | 21921-5326
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Country | US
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Telephone | 443-499-4005
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 PEOPLES PLZ STE 124
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City | NEWARK
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State | DE
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Zip | 19702-5706
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Country | US
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Telephone | 443-499-4005
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NAVEED HASAN
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Credential |
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Telephone | 443-499-4005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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