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General NPI Number Information
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NPI Number | 1043123979
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Entity Type | Organization
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Legal Business Name | BRUNO'S PEDIATRIC THERAPY SERVICES
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 179 RTE 46 STE 15-205
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City | ROCKAWAY
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State | NJ
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Zip | 07866-4046
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Country | US
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Telephone | 973-461-9319
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Fax |
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Provider Business Mailing Address
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Address Line | 179 RTE 46 STE 15-205
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City | ROCKAWAY
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State | NJ
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Zip | 07866-4046
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TATIANA BRUNO
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Credential |
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Telephone | 973-461-9319
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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