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General NPI Number Information
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NPI Number | 1184181984
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Entity Type | Individual
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Provider Name | NICOLE YVONNE BRUNO RN, BSN
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Gender | Female
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Dates
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Enumeration Date | 02/28/2019
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 2502 E FOURTH PLAIN BLVD
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City | VANCOUVER
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State | WA
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Zip | 98661-3965
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Country | US
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Telephone | 360-852-9092
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Fax | 360-397-4368
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Provider Business Mailing Address
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Address Line | 1050 LARRABEE AVE STE 104 PMB 466
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City | BELLINGHAM
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State | WA
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Zip | 98225
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Country | US
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Telephone | 360-961-4941
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | RN60765681
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN60765681
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License Number State | WA
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