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NPI 1740196674

NPI 1740196674 : NATALIE ELLEN BRUNING OTR/L : KENMORE, NY

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General NPI Number Information
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    NPI Number           |    1740196674
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    Entity Type          |    Individual 
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    Provider Name        |    NATALIE ELLEN BRUNING OTR/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/20/2026
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    Last Update Date     |    08/20/2026
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Provider Practice Location Address
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    Address Line         |    3767 DELAWARE AVE 
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    City                 |    KENMORE
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    State                |    NY
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    Zip                  |    14217-1040
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    Country              |    US
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    Telephone            |    716-874-6175
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7941 CHESTNUT RIDGE RD 
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    City                 |    GASPORT
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    State                |    NY
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    Zip                  |    14067-9277
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    Country              |    US
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    Telephone            |    716-425-1138
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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        |    225XP0200X
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    Taxonomy Name        |    Pediatric Occupational Therapist
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    License Number       |    031355
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    License Number State |    NY
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