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General NPI Number Information
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NPI Number | 1578382230
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Entity Type | Individual
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Provider Name | BRIANA LUNA
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Gender | Female
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Dates
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Enumeration Date | 10/08/2024
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 5630 W LOOP 1604 N STE 105
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City | SAN ANTONIO
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State | TX
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Zip | 78251-3806
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Country | US
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Telephone | 210-523-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 10519 RHYDER RDG
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City | SAN ANTONIO
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State | TX
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Zip | 78254-4463
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Country | US
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Telephone |
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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 | 3131489
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License Number State | TX
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