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General NPI Number Information
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NPI Number | 1871771170
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Entity Type | Organization
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Legal Business Name | ANDREW F BRUNO MD PA
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Dates
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Enumeration Date | 02/08/2008
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Last Update Date | 06/27/2008
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Provider Practice Location Address
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Address Line | 1609 SE 3RD CT
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-4418
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Country | US
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Telephone | 954-427-6363
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Fax | 954-427-6364
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Provider Business Mailing Address
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Address Line | 1609 SE 3RD CT
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-4418
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Country | US
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Telephone | 954-427-6363
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Fax | 954-427-6364
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDREW F BRUNO
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Credential | MD
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Telephone | 954-427-6363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | ME0017617
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License Number State | FL
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