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General NPI Number Information
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NPI Number | 1891189627
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Entity Type | Individual
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Provider Name | JAMES BRUHN
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Gender | Male
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Dates
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Enumeration Date | 03/18/2015
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Last Update Date | 03/18/2015
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Provider Practice Location Address
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Address Line | 1803 ALAMEDA AVE
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City | ALAMEDA
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State | CA
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Zip | 94501-4107
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Country | US
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Telephone | 415-505-7426
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Fax |
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Provider Business Mailing Address
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Address Line | 1803 ALAMEDA AVE
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City | ALAMEDA
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State | CA
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Zip | 94501-4107
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Country | US
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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 | 364SA2100X
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Taxonomy Name | Acute Care Clinical Nurse Specialist
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License Number | 4195
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 622945
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License Number State | CA
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