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General NPI Number Information
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NPI Number | 1194759126
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Entity Type | Individual
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Provider Name | BRIANNE NEWMAN PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 738 W LOOP 1604 N
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City | SAN ANTONIO
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State | TX
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Zip | 78251-3350
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Country | US
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Telephone | 210-888-0008
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Fax |
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Provider Business Mailing Address
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Address Line | 602 E NOTTINGHAM DR
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City | SAN ANTONIO
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State | TX
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Zip | 78209-3438
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Country | US
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Telephone | 804-517-6784
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA12591
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA0009542
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 216277
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License Number State | AK
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