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NPI 1306344320

NPI 1306344320 : KARIAN SOREN BREEN PT : CHARLESTOWN, NH

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General NPI Number Information
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    NPI Number           |    1306344320
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    Entity Type          |    Individual 
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    Provider Name        |    KARIAN SOREN BREEN PT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/24/2018
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    Last Update Date     |    08/28/2025
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Provider Practice Location Address
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    Address Line         |    23 CARYL LN 
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    City                 |    CHARLESTOWN
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    State                |    NH
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    Zip                  |    03603-4432
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    Country              |    US
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    Telephone            |    603-826-9700
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    Fax                  |    603-826-9703
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Provider Business Mailing Address
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    Address Line         |    2930 N COUNTRY CLUB RD 
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85716-1912
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    Country              |    US
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    Telephone            |    520-320-1953
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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        |    225700000X
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    Taxonomy Name        |    Massage Therapist
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    License Number       |    MT-21279
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    License Number State |    AZ
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    6105
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    License Number State |    NH
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