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General NPI Number Information
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NPI Number | 1639031651
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Entity Type | Organization
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Legal Business Name | BREATHE MYO, LLC
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Dates
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Enumeration Date | 11/28/2025
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 4790 CAUGHLIN PKWY. STE. 357
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City | RENO
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State | NV
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Zip | 89519
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Country | US
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Telephone | 775-453-6833
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Fax |
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Provider Business Mailing Address
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Address Line | 4790 CAUGHLIN PKWY. STE. 357
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City | RENO
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State | NV
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Zip | 89519
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Country | US
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Telephone | 775-453-6833
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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. XUAN-THU THI LOVELL
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Credential | ROH, OMT
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Telephone | 775-544-5751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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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 | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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