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General NPI Number Information
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NPI Number | 1184838815
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Entity Type | Organization
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Legal Business Name | MARIA D. BRUNO, M.D. LLC
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 04/23/2015
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Provider Practice Location Address
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Address Line | 3723 SENECA STREET
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City | WEST SENECA
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State | NY
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Zip | 14224
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Country | US
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Telephone | 716-675-5000
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Fax | 716-674-8756
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Provider Business Mailing Address
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Address Line | 3723 SENECA STREET
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City | WEST SENECA
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State | NY
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Zip | 14224
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Country | US
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Telephone | 716-675-5000
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Fax | 716-674-8756
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. MARIA D. BRUNO
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Credential | M.D.
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Telephone | 716-675-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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