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General NPI Number Information
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NPI Number | 1043968035
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Entity Type | Individual
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Provider Name | BRIANNA MEBANE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/17/2022
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 4613 S STAPLES ST STE C&D
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City | CORPUS CHRISTI
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State | TX
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Zip | 78411-2780
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Country | US
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Telephone | 361-851-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 7634 DOVE HOLLOW DR
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City | CORPUS CHRISTI
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State | TX
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Zip | 78414-4478
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Country | US
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Telephone | 361-947-1919
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 1041041
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1041041
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License Number State | TX
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