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General NPI Number Information
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NPI Number | 1063227460
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Entity Type | Organization
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Legal Business Name | WEBREATHE:
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 2141 CENTURY FARMS PKWY APT 2408
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City | ANTIOCH
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State | TN
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Zip | 37013-5571
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Country | US
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Telephone | 615-487-2668
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Fax |
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Provider Business Mailing Address
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Address Line | 2141 CENTURY FARMS PKWY APT 2408
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City | ANTIOCH
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State | TN
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Zip | 37013-5571
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Country | US
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Telephone | 615-487-2668
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Fax |
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Authorized Official
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Title or Position | FOUNDER / SPIRITUAL HEALER
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Name | DANTE PIERRE JOHNSON
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Credential |
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Telephone | 615-487-2668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282J00000X
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Taxonomy Name | Religious Nonmedical Health Care Institution
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License Number |
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License Number State |
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