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General NPI Number Information
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NPI Number | 1992588586
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Entity Type | Individual
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Provider Name | MARIA BRIONES
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Gender | Female
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Dates
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Enumeration Date | 08/16/2023
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 912 E 5TH ST
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City | ODESSA
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State | TX
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Zip | 79761-4605
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Country | US
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Telephone | 432-334-8845
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Fax |
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Provider Business Mailing Address
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Address Line | 6500 EASTRIDGE RD APT 185
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City | ODESSA
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State | TX
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Zip | 79762-5222
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Country | US
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Telephone | 432-248-9074
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA19575
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License Number State | TX
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