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General NPI Number Information
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NPI Number | 1770637159
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Entity Type | Individual
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Provider Name | LOUIS L BRUNO JR. MD
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Gender | Male
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 06/01/2023
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Provider Practice Location Address
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Address Line | 750 W HAMPDEN AVE STE 425
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City | ENGLEWOOD
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State | CO
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Zip | 80110-2099
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Country | US
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Telephone | 303-777-0303
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Fax | 303-733-4565
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Provider Business Mailing Address
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Address Line | 800 ENGLEWOOD PKWY UNIT B202
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City | ENGLEWOOD
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State | CO
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Zip | 80110-7319
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Country | US
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Telephone | 303-777-0303
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Fax | 303-733-4456
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | DR.0020121
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License Number State | CO
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