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NPI 1780683888

NPI 1780683888 : SONJA DYANNE BRUNE : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1780683888
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    Entity Type          |    Individual 
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    Provider Name        |    SONJA DYANNE BRUNE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/20/2005
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    Last Update Date     |    07/22/2025
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Provider Practice Location Address
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    Address Line         |    5430 FREDERICKSBURG RD STE 400 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78229-3539
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    Country              |    US
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    Telephone            |    726-842-9799
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    Fax                  |    726-842-9798
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Provider Business Mailing Address
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    Address Line         |    PO BOX 5730 
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    City                 |    BELFAST
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    State                |    ME
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    Zip                  |    04915-5700
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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    |    
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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        |    364S00000X
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    Taxonomy Name        |    Clinical Nurse Specialist
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    License Number       |    553923
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    364SA2100X
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    Taxonomy Name        |    Acute Care Clinical Nurse Specialist
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    License Number       |    AP110040
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    AP110040
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    License Number State |    TX
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