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General NPI Number Information
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NPI Number | 1851418735
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Entity Type | Individual
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Provider Name | DARYL BRUNER LPC, NCC
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Gender | Male
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 48380 HWY 52 N PFEIFFER UNIVERSITY
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City | MISENHEIMER
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State | NC
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Zip | 28109-0960
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Country | US
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Telephone | 704-463-3422
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Fax |
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Provider Business Mailing Address
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Address Line | 234 W COLONIAL DR
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City | SALISBURY
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State | NC
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Zip | 28144-2206
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Country | US
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Telephone | 704-463-3422
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 5376
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License Number State | NC
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