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General NPI Number Information
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NPI Number | 1134479942
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Entity Type | Individual
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Provider Name | ANTHONY JOHN BRUNORI FNP
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Gender | Male
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Dates
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Enumeration Date | 09/19/2012
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 1087 DENNISON AVE
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City | COLUMBUS
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State | OH
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Zip | 43201-3201
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Country | US
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Telephone | 614-458-9000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 20452
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City | COLUMBUS
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State | OH
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Zip | 43220-0452
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Country | US
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Telephone | 614-457-8180
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA.13680-NP
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License Number State | OH
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