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General NPI Number Information
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NPI Number | 1902679475
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Entity Type | Individual
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Provider Name | BRUNA MONTEAU RN
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Gender | Female
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Dates
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Enumeration Date | 11/06/2023
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 2911 QUEENS PLZ N FL 5
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-4034
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Country | US
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Telephone | 718-391-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 10932 215TH ST
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City | QUEENS VILLAGE
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State | NY
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Zip | 11429-1919
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Country | US
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Telephone | 347-339-9424
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 808141-01
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License Number State | NY
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