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General NPI Number Information
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NPI Number | 1912650508
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Entity Type | Individual
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Provider Name | BREANNA HASPER DO
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Gender | Female
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Dates
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Enumeration Date | 02/02/2022
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Last Update Date | 11/22/2025
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Provider Practice Location Address
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Address Line | NAS KINGSVILLE CLINIC, GENERAL CAVAZOS BLVD
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City | KINGSVILLE
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State | TX
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Zip | 78363
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Country | US
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Telephone | 315-664-0665
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Fax |
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Provider Business Mailing Address
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Address Line | 730 FORRESTAL ST
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City | KINGSVILLE
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State | TX
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Zip | 78363-5112
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Country | US
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Telephone | 361-516-6160
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Fax |
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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 | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | 02007510A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 02007510A
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License Number State | IN
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