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General NPI Number Information
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NPI Number | 1619287000
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Entity Type | Organization
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Legal Business Name | BRYAN W HAMBRIC MD PA
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Dates
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Enumeration Date | 10/19/2010
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Last Update Date | 03/07/2011
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Provider Practice Location Address
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Address Line | 1346 E WALNUT ST
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City | SEGUIN
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State | TX
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Zip | 78155-5126
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Country | US
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Telephone | 830-379-4500
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Fax | 830-379-4501
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Provider Business Mailing Address
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Address Line | 1346 E WALNUT ST
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City | SEGUIN
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State | TX
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Zip | 78155-5126
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Country | US
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Telephone | 830-379-4500
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Fax | 830-379-4501
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Authorized Official
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Title or Position | PRESIDENT/OWNER OF PA
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Name | BRYAN WELLS HAMBRIC
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Credential | M.D.
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Telephone | 830-379-4500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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