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General NPI Number Information
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NPI Number | 1457411639
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Entity Type | Individual
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Provider Name | CHRISTINE BOYER BRUNO PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 08/26/2009
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Provider Practice Location Address
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Address Line | 975 SERENO DR
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City | VALLEJO
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State | CA
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Zip | 94589-2441
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Country | US
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Telephone | 707-651-1075
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Fax |
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Provider Business Mailing Address
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Address Line | 484 BALD EAGLE DR
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City | VACAVILLE
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State | CA
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Zip | 95688-1022
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Country | US
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Telephone | 707-514-7089
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 57237
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License Number State | CA
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