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General NPI Number Information
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NPI Number | 1720508708
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Entity Type | Individual
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Provider Name | BRUNIA BEAUBRUN MPA
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Gender | Female
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 725 VILLAGE SQUARE CIR. UNIT 318
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City | DELRAY BEACH
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State | FL
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Zip | 33444
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Country | US
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Telephone | 561-350-4288
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Fax |
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Provider Business Mailing Address
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Address Line | 725 VILLAGE SQUARE CIR UNIT 318
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City | DELRAY BEACH
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State | FL
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Zip | 33444-1246
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Country | US
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Telephone | 561-350-4288
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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 | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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