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General NPI Number Information
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NPI Number | 1538608666
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Entity Type | Individual
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Provider Name | PATRICK GREGORY BRUFF NP
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Gender | Male
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Dates
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Enumeration Date | 02/22/2017
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 901 OLD KNIGHT RD
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City | KNIGHTDALE
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State | NC
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Zip | 27545-9065
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Country | US
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Telephone | 919-266-6211
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 746724
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City | ATLANTA
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State | GA
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Zip | 30374-6724
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Country | US
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Telephone | 312-733-9730
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5009324
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License Number State | NC
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