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NPI 1649095514

NPI 1649095514 : BREAKTHROUGH THERAPY & SERVICES LLC : SAN ANGELO, TX

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General NPI Number Information
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    NPI Number           |    1649095514
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    Entity Type          |    Organization 
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    Legal Business Name  |    BREAKTHROUGH THERAPY & SERVICES LLC 
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Dates
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    Enumeration Date     |    11/18/2024
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    Last Update Date     |    07/17/2025
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Provider Practice Location Address
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    Address Line         |    2141 OFFICE PARK DR STE 1 
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    City                 |    SAN ANGELO
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    State                |    TX
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    Zip                  |    76904-6836
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    Country              |    US
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    Telephone            |    325-261-3084
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1918 CASE AVE 
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    City                 |    SAN ANGELO
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    State                |    TX
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    Zip                  |    76904-7808
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    Country              |    US
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    Telephone            |    325-261-3084
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     BRITNEY NICOLE ZAMUDIO 
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    Credential           |    LCSW
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    Telephone            |    325-261-3084
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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