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General NPI Number Information
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NPI Number | 1730554924
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Entity Type | Organization
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Legal Business Name | BREG, INC.
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Dates
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Enumeration Date | 12/14/2015
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 655 W GRAND AVE UNIT 205
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City | ELMHURST
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State | IL
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Zip | 60126-1060
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Country | US
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Telephone | 630-415-3155
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Fax | 800-454-9615
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Provider Business Mailing Address
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Address Line | 2382 FARADAY AVENUE SUITE 300
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City | CARLSBAD
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State | CA
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Zip | 92008-7220
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Country | US
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Telephone | 760-795-5440
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DAVE MOWRY
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Credential |
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Telephone | 760-795-5440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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