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General NPI Number Information
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NPI Number | 1467377366
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Entity Type | Organization
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Legal Business Name | BREVAIL CARE GROUP LLC
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Dates
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Enumeration Date | 08/11/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 1362 ROLLING MEADOWS DR
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City | CEDAR HILL
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State | TX
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Zip | 75104-3940
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Country | US
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Telephone | 252-230-0828
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 N HAMPTON RD STE 425
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City | DESOTO
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State | TX
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Zip | 75115-2399
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Country | US
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Telephone | 252-230-0828
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | BRANDON DONTE' BRASWELL
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Credential |
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Telephone | 252-230-0828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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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 | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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