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General NPI Number Information
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NPI Number | 1063378719
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Entity Type | Organization
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Legal Business Name | BREEZWAY HEALTH AND WELLNESS
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Dates
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Enumeration Date | 12/26/2025
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 212 W TROY ST STE B
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City | DOTHAN
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State | AL
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Zip | 36303-4455
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Country | US
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Telephone | 334-595-9104
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Fax | 334-387-9184
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Provider Business Mailing Address
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Address Line | 212 W TROY ST STE B
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City | DOTHAN
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State | AL
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Zip | 36303-4455
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Country | US
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Telephone | 334-595-9104
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Fax | 334-387-9184
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | BRIANNA LASHA HODGE
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Credential | FNP-C
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Telephone | 334-594-9104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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