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NPI 1801896311

NPI 1801896311 : PETER LU BRION M.D. : DALY CITY, CA

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General NPI Number Information
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    NPI Number           |    1801896311
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    Entity Type          |    Individual 
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    Provider Name        |    PETER LU BRION M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/26/2005
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    Last Update Date     |    08/24/2011
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Provider Practice Location Address
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    Address Line         |    1800 SULLIVAN AVE SUITE 605
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    City                 |    DALY CITY
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    State                |    CA
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    Zip                  |    94015-2228
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    Country              |    US
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    Telephone            |    650-992-8456
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    Fax                  |    650-992-8356
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Provider Business Mailing Address
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    Address Line         |    1800 SULLIVAN AVE SUITE 605
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    City                 |    DALY CITY
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    State                |    CA
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    Zip                  |    94015-2228
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    Country              |    US
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    Telephone            |    650-992-8456
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    Fax                  |    650-992-8356
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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        |    207RP1001X
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    Taxonomy Name        |    Pulmonary Disease Physician
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    License Number       |    A53147
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    License Number State |    CA
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