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General NPI Number Information
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NPI Number | 1013778570
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Entity Type | Individual
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Provider Name | DESTINY BREITKREUTZ LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/22/2024
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 34800 BOB WILSON DR
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City | SAN DIEGO
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State | CA
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Zip | 92134-1098
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Country | US
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Telephone | 619-647-4078
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Fax |
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Provider Business Mailing Address
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Address Line | 2822 BELKNAP WAY
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City | SAN DIEGO
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State | CA
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Zip | 92106-6403
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Country | US
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Telephone | 619-990-5825
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 128748
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License Number State | CA
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