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General NPI Number Information
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NPI Number | 1598537912
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Entity Type | Organization
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Legal Business Name | BREATHE EASY HEALTHCARE LLC
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Dates
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Enumeration Date | 10/30/2023
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Last Update Date | 10/30/2023
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Provider Practice Location Address
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Address Line | 14741 SW 11TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-6193
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Country | US
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Telephone | 954-439-4333
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Fax |
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Provider Business Mailing Address
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Address Line | 14741 SW 11TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-6193
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Country | US
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Telephone | 954-439-4333
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SUMAIRA JAGVANI
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Credential | APRN
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Telephone | 954-439-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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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 | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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