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NPI 1427832401

NPI 1427832401 : JAMES MORRISON BRECEDA : ORO VALLEY, AZ

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General NPI Number Information
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    NPI Number           |    1427832401
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES MORRISON BRECEDA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/22/2023
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    Last Update Date     |    01/30/2026
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Provider Practice Location Address
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    Address Line         |    1551 E TANGERINE RD 
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    City                 |    ORO VALLEY
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    State                |    AZ
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    Zip                  |    85755-6213
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    Country              |    US
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    Telephone            |    520-901-3500
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3114 WOODCLIFF AVE 
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    City                 |    RICHMOND
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    State                |    VA
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    Zip                  |    23222-3138
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    Country              |    US
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    Telephone            |    937-344-6801
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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        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    334350
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    License Number State |    AZ
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    0001281042
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    License Number State |    VA
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