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General NPI Number Information
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NPI Number | 1508518291
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Entity Type | Organization
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Legal Business Name | BREATHE HEALTH & WELLNESS LLC
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Dates
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Enumeration Date | 01/24/2022
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Last Update Date | 02/12/2022
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Provider Practice Location Address
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Address Line | 2121 PAWPAW LN
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City | CHARLOTTE
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State | NC
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Zip | 28269
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Country | US
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Telephone | 336-303-0534
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Fax |
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Provider Business Mailing Address
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Address Line | 233 BROOKFORD PLACE CT.
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City | WINSTON-SALEM
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State | NC
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Zip | 27104-5736
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MS. JAMIE M NORWARD
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Credential | RN
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Telephone | 336-303-0534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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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 | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 247ZC0005X
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Taxonomy Name | Clinical Laboratory Director (Non-physician)
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License Number |
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License Number State |
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