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General NPI Number Information
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NPI Number | 1740446947
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Entity Type | Individual
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Provider Name | BURNELL PAUL BRUNIOUS M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/06/2008
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Last Update Date | 05/10/2012
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Provider Practice Location Address
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Address Line | 8383 N. DAVIS HWY
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City | PENSACOLA
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State | FL
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Zip | 32514
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Country | US
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Telephone | 850-494-6565
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Fax |
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Provider Business Mailing Address
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Address Line | 1527 WINDING SHORE DR
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City | GULF BREEZE
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State | FL
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Zip | 32563-9094
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Country | US
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Telephone | 917-574-9298
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME104848
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License Number State | FL
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