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General NPI Number Information
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NPI Number | 1467423517
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Entity Type | Individual
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Provider Name | BETH K BRUENING M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/27/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 101 TOWER RD STE 300
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City | DAKOTA DUNES
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State | SD
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Zip | 57049-5098
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Country | US
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Telephone | 605-217-4500
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Fax | 605-217-4503
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Provider Business Mailing Address
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Address Line | 101 TOWER RD STE 300
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City | DAKOTA DUNES
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State | SD
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Zip | 57049-5098
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Country | US
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Telephone | 605-217-4500
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Fax | 605-217-4503
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 3577
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 17691
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 28135
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License Number State | IA
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