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General NPI Number Information
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NPI Number | 1790910297
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Entity Type | Organization
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Legal Business Name | CONCETTA BRUNO PA
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Dates
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Enumeration Date | 05/27/2009
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Last Update Date | 07/20/2023
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Provider Practice Location Address
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Address Line | 1000 QUAYSIDE TER APT 1605
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City | MIAMI
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State | FL
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Zip | 33138-2220
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Country | US
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Telephone | 130-586-4378
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Fax | 395-865-5612
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Provider Business Mailing Address
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Address Line | 1000 QUAYSIDE TER APT 1605
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City | MIAMI
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State | FL
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Zip | 33138-2220
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Country | US
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Telephone | 786-325-8162
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Fax | 786-801-1199
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Authorized Official
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Title or Position | SPEECH PATHOLOGIST/PRESIDENT
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Name | MS. CONCETTA BRUNO
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Credential | MA CCC
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Telephone | 305-864-3788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA1471
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License Number State | FL
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