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General NPI Number Information
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NPI Number | 1376588020
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Entity Type | Individual
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Provider Name | /LUIS ROBERTO BRIONES M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 10/01/2013
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Provider Practice Location Address
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Address Line | 9877 PINES BLVD
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6164
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Country | US
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Telephone | 954-966-7911
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Fax | 954-966-3352
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Provider Business Mailing Address
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Address Line | 6740 TAFT ST
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City | HOLLYWOOD
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State | FL
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Zip | 33024-3903
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Country | US
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Telephone | 954-986-9855
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Fax | 954-986-9828
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME0049235
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License Number State | FL
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