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General NPI Number Information
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NPI Number | 1184245870
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Entity Type | Individual
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Provider Name | DONA PIERANTONI BRUMBLEY RT (R) (CT)
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Gender | Female
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Dates
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Enumeration Date | 05/04/2020
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Last Update Date | 05/04/2020
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Provider Practice Location Address
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Address Line | 1701 4TH ST
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City | SANTA ROSA
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State | CA
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Zip | 95404-3658
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Country | US
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Telephone | 707-523-7025
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Fax |
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Provider Business Mailing Address
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Address Line | 1836 WOODSAGE WAY
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City | SANTA ROSA
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State | CA
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Zip | 95404-7030
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Country | US
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Telephone | 707-477-4603
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | RHF00064042
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License Number State | CA
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