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General NPI Number Information
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NPI Number | 1699119834
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Entity Type | Individual
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Provider Name | SOHEI BREAUX-FUJITA LMFT
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Gender | Male
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Dates
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Enumeration Date | 04/18/2013
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 580 W 5TH ST
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City | RENO
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State | NV
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Zip | 89503-4407
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Country | US
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Telephone | 775-786-4673
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Fax | 775-348-2889
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Provider Business Mailing Address
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Address Line | 715A DIVISION ST
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City | BILOXI
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State | MS
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Zip | 39530-2209
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Country | US
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Telephone | 228-374-4991
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Fax | 228-436-3720
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 204297
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT130462
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | T0552
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License Number State | MS
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