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NPI 1306348750

NPI 1306348750 : NORMINI MARBIL BRIONES DPT : SAN MARCOS, CA

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General NPI Number Information
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    NPI Number           |    1306348750
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    Entity Type          |    Individual 
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    Provider Name        |    NORMINI MARBIL BRIONES DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/01/2018
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    Last Update Date     |    03/01/2018
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Provider Practice Location Address
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    Address Line         |    637 HELMSDALE RD 
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    City                 |    SAN MARCOS
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    State                |    CA
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    Zip                  |    92069-8132
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    Country              |    US
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    Telephone            |    760-290-9898
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    637 HELMSDALE RD 
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    City                 |    SAN MARCOS
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    State                |    CA
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    Zip                  |    92069-8132
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    Country              |    US
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    Telephone            |    760-290-9898
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PT15847
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    License Number State |    CA
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