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General NPI Number Information
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NPI Number | 1275123697
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Entity Type | Individual
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Provider Name | CHRISTINA BRUMER
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Gender | Female
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Dates
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Enumeration Date | 01/20/2021
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Last Update Date | 01/20/2021
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Provider Practice Location Address
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Address Line | 7999 N FEDERAL HWY STE 202
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City | BOCA RATON
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State | FL
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Zip | 33487-1673
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Country | US
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Telephone | 561-285-3503
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 JEFFERSON ST STE 2C
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City | LYNCHBURG
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State | VA
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Zip | 24504-1724
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Country | US
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Telephone |
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PY10737
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License Number State | FL
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