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General NPI Number Information
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NPI Number | 1477407310
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Entity Type | Organization
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Legal Business Name | BREEZY SPEECH THERAPY INC.
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Dates
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Enumeration Date | 02/26/2026
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 1321 LIMONITE ST
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City | HEMET
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State | CA
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Zip | 92543
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Country | US
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Telephone | 951-292-0224
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Fax |
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Provider Business Mailing Address
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Address Line | 28005 BRADLEY RD SUITE 105 PMB #670
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City | MENIFEE
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State | CA
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Zip | 92586-2252
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Country | US
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Telephone | 951-292-0224
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NICHOLE BRYAN
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Credential | M.S. CCC-SLP
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Telephone | 951-553-0829
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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