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General NPI Number Information
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NPI Number | 1750089330
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Entity Type | Organization
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Legal Business Name | BREERIC LLC
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Dates
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Enumeration Date | 02/22/2023
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Last Update Date | 01/04/2025
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Provider Practice Location Address
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Address Line | 1109 S MILITARY HWY
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City | CHESAPEAKE
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State | VA
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Zip | 23320-2347
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Country | US
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Telephone | 757-362-1157
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Fax | 757-260-7988
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Provider Business Mailing Address
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Address Line | 809 PROFESSIONAL PLACE, BLDG A UNIT 103
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City | CHESAPEAKE
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State | VA
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Zip | 23320
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Country | US
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Telephone | 757-362-1157
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. SABRINA ANN DAVIS
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Credential |
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Telephone | 757-362-1157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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