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General NPI Number Information
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NPI Number | 1265641120
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Entity Type | Individual
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Provider Name | CHRISTINA BRUS MD
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 07/29/2019
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Provider Practice Location Address
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Address Line | 900 CENTENNIAL BLVD STE F
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City | VOORHEES
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State | NJ
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Zip | 08043
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Country | US
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Telephone | 855-632-2667
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Fax |
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Provider Business Mailing Address
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Address Line | 1 FEDERAL ST # 200
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City | CAMDEN
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State | NJ
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Zip | 08103-1088
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Country | US
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Telephone | 856-356-4924
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD443630
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | MD443630
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 25MA10052500
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | MD443630
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 25MA10052500
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License Number State | NJ
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