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General NPI Number Information
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NPI Number | 1518521293
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Entity Type | Organization
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Legal Business Name | BREATHING SOL MARRIAGE AND FAMILY THERAPY, INC.
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Dates
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Enumeration Date | 04/28/2019
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Last Update Date | 06/14/2020
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Provider Practice Location Address
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Address Line | 29970 TECHNOLOGY DR STE 117B
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City | MURRIETA
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State | CA
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Zip | 92563-2647
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Country | US
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Telephone | 951-916-9955
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Fax |
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Provider Business Mailing Address
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Address Line | 33702 PETUNIA ST
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City | MURRIETA
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State | CA
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Zip | 92563-3493
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Country | US
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Telephone | 951-916-9955
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. NAXYELI SAMANTHA WHEELER
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Credential | LMFT
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Telephone | 951-916-9955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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