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General NPI Number Information
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NPI Number | 1861264343
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Entity Type | Individual
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Provider Name | MRS. RITA BRUNO
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Gender | Female
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Dates
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Enumeration Date | 10/26/2023
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Last Update Date | 10/28/2023
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Provider Practice Location Address
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Address Line | 13820 NE AIRPORT WAY STE K04190
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City | PORTLAND
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State | OR
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Zip | 97230-3440
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Country | US
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Telephone | 647-401-5598
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Fax |
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Provider Business Mailing Address
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Address Line | 17 NAPOLEON CRECENT
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City | BRAMPTON
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State | ONTARIO
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Zip | L6P 3K5
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Country | CA
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Telephone |
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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