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General NPI Number Information
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NPI Number | 1811456247
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Entity Type | Individual
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Provider Name | ADAM THOMAS BRUNSON AG-CNS
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Gender | Male
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Dates
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Enumeration Date | 03/15/2019
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 113 WOODLAND TRL
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City | LEANDER
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State | TX
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Zip | 78641-9207
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Country | US
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Telephone | 512-740-3280
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Fax | 800-905-8006
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Provider Business Mailing Address
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Address Line | 113 WOODLAND TRL
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City | LEANDER
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State | TX
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Zip | 78641-9207
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Country | US
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Telephone | 512-740-3280
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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 | 163WG0600X
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Taxonomy Name | Gerontology Registered Nurse
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License Number | 926072
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 364SG0600X
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Taxonomy Name | Gerontology Clinical Nurse Specialist
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License Number | API42166
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License Number State | TX
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