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General NPI Number Information
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NPI Number | 1780264796
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Entity Type | Organization
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Legal Business Name | ROBERT A BRUGNONE, DDS, INC.
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Dates
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Enumeration Date | 04/13/2021
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Last Update Date | 04/13/2021
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Provider Practice Location Address
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Address Line | 533 4TH PL
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City | SOLVANG
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State | CA
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Zip | 93463-2605
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Country | US
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Telephone | 805-688-6495
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Fax |
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Provider Business Mailing Address
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Address Line | 533 4TH PL
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City | SOLVANG
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State | CA
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Zip | 93463-2605
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT A BRUGNONE
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Credential | DDS
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Telephone | 805-294-8327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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