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General NPI Number Information
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NPI Number | 1487908398
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Entity Type | Organization
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Legal Business Name | JULIA BRYSON, M.D., INC.
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Dates
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Enumeration Date | 10/30/2012
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Last Update Date | 09/02/2016
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Provider Practice Location Address
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Address Line | 345 S HALCYON ROAD (ARROYO GRANDE COMM. REHAB HOSPITAL)
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City | ARROYO GRANDE
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State | CA
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Zip | 93420-3817
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Country | US
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Telephone | 805-473-7663
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Fax | 805-564-3332
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Provider Business Mailing Address
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Address Line | PO BOX 50706
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City | SANTA BARBARA
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State | CA
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Zip | 93150-0706
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Country | US
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Telephone | 805-936-3757
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Fax | 805-564-3332
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Authorized Official
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Title or Position | PRESIDENT
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Name | JULIA E BRYSON
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Credential | MD
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Telephone | 805-364-4372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A106988
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License Number State | CA
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