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General NPI Number Information
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NPI Number | 1336691328
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Entity Type | Individual
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Provider Name | KATHRYN MENDOZA BRIONES RN, NP
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Gender | Female
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Dates
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Enumeration Date | 10/26/2016
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 1468 MADISON AVE
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City | NEW YORK
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State | NY
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Zip | 10029-6508
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Country | US
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Telephone | 212-241-5111
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Fax |
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Provider Business Mailing Address
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Address Line | 6762 GALVESTON PL
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91701-7795
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Country | US
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Telephone | 909-800-6536
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95315067
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 718089-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 95038030
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 431250
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License Number State | NY
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