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General NPI Number Information
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NPI Number | 1801662630
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Entity Type | Individual
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Provider Name | BRUNA DE OLIVEIRA COX X MD
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Gender | Female
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Dates
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Enumeration Date | 12/01/2023
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Last Update Date | 04/12/2024
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Provider Practice Location Address
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Address Line | 135 RUTLEDGE AVE FL 12
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City | CHARLESTON
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State | SC
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Zip | 29425-1904
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Country | US
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Telephone | 843-792-4542
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Fax |
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Provider Business Mailing Address
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Address Line | 300 PALMETTO PARK BLVD APT 1307
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City | LEXINGTON
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State | SC
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Zip | 29072-7881
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Country | US
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Telephone | 843-624-1494
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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