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General NPI Number Information
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NPI Number | 1386951176
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Entity Type | Organization
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Legal Business Name | PETER BRUNO M.D.P.C.
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Dates
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Enumeration Date | 09/01/2010
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Last Update Date | 09/01/2010
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Provider Practice Location Address
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Address Line | 245 E WARWICK DR
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City | ALMA
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State | MI
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Zip | 48801-1026
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Country | US
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Telephone | 989-463-5928
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Fax | 989-463-5967
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Provider Business Mailing Address
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Address Line | 245 E WARWICK DR
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City | ALMA
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State | MI
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Zip | 48801-1026
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Country | US
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Telephone | 989-463-5928
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Fax | 989-463-5967
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PETER BRUNO
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Credential | M.D.
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Telephone | 989-463-5928
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 044418
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License Number State | MI
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