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General NPI Number Information
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NPI Number | 1669471074
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Entity Type | Individual
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Provider Name | MICHAEL ROBERT BRUMUND M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/18/2005
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | EMORY UNIVERSITY HOSPITAL AND CLINICS 1364 CLIFTON ROAD
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City | ATLANTA
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State | GA
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Zip | 30322-0001
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Country | US
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Telephone | 404-712-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 14025 HENCH LN
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City | ORLANDO
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State | FL
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Zip | 32827-7466
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Country | US
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Telephone | 225-614-3143
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Fax | 225-614-3143
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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 | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 13782R
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207RA0002X
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Taxonomy Name | Adult Congenital Heart Disease Physician
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License Number | 42022
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License Number State | GA
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