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NPI 1295989820

NPI 1295989820 : FRANK JOSEPH BRITO LVN : RIVERSIDE, CA

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General NPI Number Information
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    NPI Number           |    1295989820
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    Entity Type          |    Individual 
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    Provider Name        |    FRANK JOSEPH BRITO LVN
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/10/2008
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    Last Update Date     |    11/11/2008
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Provider Practice Location Address
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    Address Line         |    1021 W LA CADENA DR 
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    City                 |    RIVERSIDE
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    State                |    CA
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    Zip                  |    92501-1413
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    Country              |    US
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    Telephone            |    951-784-8010
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    244 ALPINE ST APT D 
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    City                 |    UPLAND
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    State                |    CA
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    Zip                  |    91786-5206
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    Country              |    US
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    Telephone            |    909-608-7667
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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        |    164W00000X
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    Taxonomy Name        |    Licensed Practical Nurse
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    License Number       |    VN132682
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    License Number State |    CA
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