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General NPI Number Information
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NPI Number | 1659094050
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Entity Type | Individual
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Provider Name | LEONIDE BRUNOT APRN
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Gender | Female
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Dates
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Enumeration Date | 09/21/2022
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 3200 HIGHLANDS PKWY SE STE 410
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City | SMYRNA
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State | GA
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Zip | 30082-5136
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Country | US
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Telephone | 844-893-0012
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Fax | 615-278-3355
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Provider Business Mailing Address
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Address Line | PO BOX 12369
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City | MURFREESBORO
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State | TN
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Zip | 37129-0048
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Country | US
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Telephone | 844-893-0012
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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 | APRN11020252
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | GAANP003179
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License Number State | GA
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