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General NPI Number Information
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NPI Number | 1710289673
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Entity Type | Organization
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Legal Business Name | SARAH BRUNO O.D.P.C.
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Dates
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Enumeration Date | 11/29/2010
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Last Update Date | 10/17/2014
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Provider Practice Location Address
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Address Line | 98 WILMINGTON W CHESTER PIKE SUITE102
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City | CHADDS FORD
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State | PA
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Zip | 19317-9010
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Country | US
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Telephone | 610-459-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 4 THISTLE LN
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City | MEDIA
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State | PA
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Zip | 19063-5627
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Country | US
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Telephone | 215-840-9705
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Fax | 610-558-7831
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | SARAH M BRUNO
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Credential | O.D.
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Telephone | 610-459-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG001785
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License Number State | PA
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