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General NPI Number Information
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NPI Number | 1366339640
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Entity Type | Individual
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Provider Name | DANEEN BREITENBACH APRN, NNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/19/2025
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 501 6TH AVE S
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4634
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Country | US
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Telephone | 727-767-4313
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Fax |
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Provider Business Mailing Address
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Address Line | 32724 ANSLEY BLOOM LN
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543
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Country | US
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Telephone | 717-725-0130
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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 | 163WN0002X
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Taxonomy Name | Neonatal Intensive Care Registered Nurse
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License Number | RN601978
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 163WN0002X
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Taxonomy Name | Neonatal Intensive Care Registered Nurse
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License Number | RN9482903
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License Number State | FL
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