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General NPI Number Information
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NPI Number | 1225320625
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Entity Type | Individual
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Provider Name | BRIANNE THERESA NICOLETTI D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/04/2011
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 3409 WORTH ST STE 710
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City | DALLAS
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State | TX
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Zip | 75246-2061
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Country | US
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Telephone | 214-823-2533
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Fax | 214-823-3270
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Provider Business Mailing Address
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Address Line | 3409 WORTH ST STE 710
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City | DALLAS
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State | TX
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Zip | 75246-2061
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Country | US
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Telephone | 214-823-2533
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Fax | 214-823-3270
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | Q9697
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License Number State | TX
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