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General NPI Number Information
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NPI Number | 1629931217
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Entity Type | Individual
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Provider Name | BREINNE KATHLEEN O'DONOGHUE
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Gender | Female
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 901 W MAIN ST
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City | FREEHOLD
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State | NJ
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Zip | 07728-2549
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Country | US
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Telephone | 732-431-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 207 HARVARD AVE
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City | POINT PLEASANT BEACH
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State | NJ
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Zip | 08742-2640
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Country | US
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Telephone | 732-977-4876
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 156849
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License Number State | NJ
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