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General NPI Number Information
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NPI Number | 1841145232
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Entity Type | Individual
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Provider Name | LYDIA BRUNI
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Gender | Female
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 19505 7TH AVE NE
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City | POULSBO
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State | WA
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Zip | 98370-7700
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Country | US
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Telephone | 360-598-3764
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Fax | 360-598-3282
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Provider Business Mailing Address
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Address Line | 340 E RANDOLPH ST UNIT 1601
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City | CHICAGO
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State | IL
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Zip | 60601-7476
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Country | US
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Telephone | 312-802-2190
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT70079059
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License Number State | WA
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