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General NPI Number Information
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NPI Number | 1982183216
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Entity Type | Individual
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Provider Name | KATHRYN J BRUNING
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Gender | Female
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Dates
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Enumeration Date | 08/08/2018
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Last Update Date | 08/08/2018
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Provider Practice Location Address
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Address Line | 1560 MAYFLOWER AVE
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City | BRONX
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State | NY
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Zip | 10461-5400
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Country | US
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Telephone | 718-948-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 400 CENTRAL PARK W APT 9F
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City | NEW YORK
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State | NY
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Zip | 10025-5838
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Country | US
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Telephone | 617-429-2069
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 5479
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 8634
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License Number State | NY
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