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NPI 1205065273

NPI 1205065273 : FRANCE A BRUN : LONG BRANCH, NJ

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General NPI Number Information
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    NPI Number           |    1205065273
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    Entity Type          |    Individual 
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    Provider Name        |    FRANCE A BRUN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/10/2009
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    Last Update Date     |    02/11/2015
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Provider Practice Location Address
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    Address Line         |    MONMOUTH MEDICAL CENTER 300 SECOND AVE
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    City                 |    LONG BRANCH
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    State                |    NJ
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    Zip                  |    07740
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    Country              |    US
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    Telephone            |    732-222-5200
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    Fax                  |    732-923-6977
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Provider Business Mailing Address
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    Address Line         |    3998 FAIR RIDGE DR SUITE 300
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    City                 |    FAIRFAX
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    State                |    VA
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    Zip                  |    22033-2921
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    Country              |    US
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    Telephone            |    703-295-9360
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    Fax                  |    703-766-9725
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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        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    26NR13031800
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    License Number State |    NJ
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