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General NPI Number Information
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NPI Number | 1750245585
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Entity Type | Individual
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Provider Name | BRIANNA LYNN LEGROS THOMPSON DPT
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Gender | Female
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 21830 CACTUS AVE
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City | RIVERSIDE
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State | CA
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Zip | 92518-3010
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Country | US
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Telephone | 951-653-5291
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Fax |
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Provider Business Mailing Address
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Address Line | 36776 BRAKEN WAY
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City | LAKE ELSINORE
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State | CA
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Zip | 92532-3044
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Country | US
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Telephone | 951-378-5002
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State | CA
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