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General NPI Number Information
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NPI Number | 1942675137
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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 | 01/16/2026
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Provider Practice Location Address
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Address Line | 25528 74TH AVE S
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City | KENT
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State | WA
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Zip | 98032-6014
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Country | US
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Telephone | 253-859-7791
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Fax | 800-454-9615
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Provider Business Mailing Address
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Address Line | 2382 FARADAY AVE STE 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 | DAVID 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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