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NPI Code Detail

MEDICARE: BREANN VINCENT

MEDICARE: BREANN VINCENT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSP-10103OH

General Provider Information

NPI Number : 1316361918
Entity Type Code : Individual
Provider Name (Legal Business Name) : BREANN VINCENT
Provider Business Mailing Address
First Line : 7245 UPPER ALBANY DR
Second Line :
City : NEW ALBANY
State : OH
Zip : 43054-9111
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 621 MOUNT VERNON RD
Second Line :
City : NEWARK
State : OH
Zip : 43055-4615
Country : US
Telephone Number : 740-670-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2014
Last Update Date : 05/04/2017

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Directions to “ BREANN VINCENT ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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