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General NPI Number Information
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NPI Number | 1164103628
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Entity Type | Individual
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Provider Name | WILLIAM BRUNO
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Gender | Male
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Dates
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Enumeration Date | 07/27/2023
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Last Update Date | 09/28/2023
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Provider Practice Location Address
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Address Line | 500 UNIVERSITY DR
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City | HERSHEY
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State | PA
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Zip | 17033-2360
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Country | US
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Telephone | 717-531-8955
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Fax |
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Provider Business Mailing Address
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Address Line | 81 BENDER RD
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City | HAMDEN
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State | CT
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Zip | 06518-2007
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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 |
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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 | 12163
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP028198
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License Number State | PA
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