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General NPI Number Information
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NPI Number | 1134441074
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Entity Type | Organization
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Legal Business Name | SEGUNDO ABRAHAM BRIONES M.D. P.A.
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Dates
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Enumeration Date | 02/19/2010
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Last Update Date | 06/18/2010
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Provider Practice Location Address
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Address Line | 16614 SAN PEDRO
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City | SAN ANTONIO
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State | TX
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Zip | 78232-2223
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Country | US
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Telephone | 210-495-6515
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Fax | 210-495-4565
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Provider Business Mailing Address
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Address Line | 18142 EMERALD FOREST DR
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City | SAN ANTONIO
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State | TX
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Zip | 78259-3620
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Country | US
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Telephone | 210-421-7569
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. SEGUNDO ABRAHAM BRIONES
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Credential | M.D,
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Telephone | 210-495-6515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | J8930
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License Number State | TX
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