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General NPI Number Information
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NPI Number | 1124939996
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Entity Type | Organization
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Legal Business Name | BREEZE MEDICAL CENTER
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Dates
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Enumeration Date | 09/12/2026
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Last Update Date | 09/12/2026
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Provider Practice Location Address
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Address Line | 1229 DEEP VALLEY AVE
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89084-4004
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Country | US
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Telephone | 702-541-3735
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Fax |
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Provider Business Mailing Address
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Address Line | 1229 DEEP VALLEY AVE
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89084-4004
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Country | US
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Telephone | 702-541-3735
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YANDY POMARES MORENO
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Credential |
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Telephone | 702-541-3735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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