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General NPI Number Information
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NPI Number | 1447254826
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Entity Type | Individual
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Provider Name | DENA MARIE BRUNK PT
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Gender | Female
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 09/14/2022
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Provider Practice Location Address
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Address Line | 7877 S SHERIDAN RD
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City | TULSA
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State | OK
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Zip | 74133-3456
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Country | US
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Telephone | 918-492-1618
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Fax | 918-492-1813
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Provider Business Mailing Address
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Address Line | 7877 S SHERIDAN RD
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City | TULSA
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State | OK
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Zip | 74133-3456
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Country | US
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Telephone | 918-492-1618
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Fax | 918-496-1813
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4062
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License Number State | OK
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