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General NPI Number Information
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NPI Number | 1912589854
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Entity Type | Organization
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Legal Business Name | BREEN FAMILY LLC
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Dates
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Enumeration Date | 04/21/2021
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 4101 J ST STE 100
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City | SACRAMENTO
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State | CA
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Zip | 95819-3442
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Country | US
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Telephone | 915-857-8400
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Fax | 916-244-3504
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Provider Business Mailing Address
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Address Line | 3175 KING EDWARD CT
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City | WEST SACRAMENTO
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State | CA
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Zip | 95691-5829
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Country | US
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Telephone | 916-880-0352
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RYAN BREEN
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Credential |
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Telephone | 916-880-0352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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