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General NPI Number Information
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NPI Number | 1790964476
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Entity Type | Organization
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Legal Business Name | MARIA BRIONES MD PC
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Dates
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Enumeration Date | 10/30/2007
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Last Update Date | 11/20/2007
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Provider Practice Location Address
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Address Line | 41 S BEDFORD RD
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3407
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Country | US
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Telephone | 914-238-0190
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Fax | 914-407-1582
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Provider Business Mailing Address
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Address Line | 41 S BEDFORD RD
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3407
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Country | US
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Telephone | 914-238-0190
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Fax | 914-407-1582
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. MARIA DOLORES BRIONES
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Credential | M.D.
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Telephone | 914-238-0190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 196119
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License Number State | NY
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