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General NPI Number Information
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NPI Number | 1376432229
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Entity Type | Individual
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Provider Name | MARIA ANTOINETTA BRUNS RN-MSN, PMHNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 19904 AUGUSTA DR STE 3
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City | LAWRENCEBURG
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State | IN
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Zip | 47025-7549
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Country | US
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Telephone | 812-577-3587
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Fax |
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Provider Business Mailing Address
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Address Line | 19904 AUGUSTA DR STE 3
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City | LAWRENCEBURG
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State | IN
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Zip | 47025-7549
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Country | US
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Telephone | 812-577-3587
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 28272474A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.0040024
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License Number State | OH
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