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General NPI Number Information
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NPI Number | 1700715190
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Entity Type | Individual
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Provider Name | CAROLINE CARTER BRUENING
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Gender | Female
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Dates
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Enumeration Date | 05/14/2026
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Last Update Date | 05/14/2026
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Provider Practice Location Address
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Address Line | 475 SHOPPERS DR
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City | WINCHESTER
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State | KY
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Zip | 40391-1380
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Country | US
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Telephone | 859-353-5445
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Fax |
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Provider Business Mailing Address
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Address Line | 315 N SYCAMORE ST
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City | MOUNT STERLING
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State | KY
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Zip | 40353-1133
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Country | US
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Telephone | 859-585-5335
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 308770
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License Number State | KY
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