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General NPI Number Information
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NPI Number | 1376731505
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Entity Type | Individual
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Provider Name | ALFORT BRIONES SANTOS M.D.,R.N
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Gender | Male
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Dates
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Enumeration Date | 10/12/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3687 MT DIABLO BLVD STE 200
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City | LAFAYETTE
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State | CA
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Zip | 94549-3746
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Country | US
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Telephone | 916-854-6975
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Fax |
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Provider Business Mailing Address
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Address Line | 1261 STONEY CREEK DR
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City | SAN RAMON
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State | CA
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Zip | 94582-5627
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Country | US
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Telephone | 925-482-5316
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Fax | 925-551-4962
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A105031
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | A105031
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License Number State | CA
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