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General NPI Number Information
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NPI Number | 1982770707
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Entity Type | Individual
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Provider Name | CHRISTINE J BRUNO MD
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Gender | Female
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Dates
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Enumeration Date | 11/24/2006
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 85 E US HIGHWAY 6
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City | VALPARAISO
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State | IN
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Zip | 46383-8947
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Country | US
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Telephone | 219-364-3616
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Fax | 219-364-3610
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Provider Business Mailing Address
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Address Line | 1968 PEACHTREE RD NW
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City | ATLANTA
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State | GA
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Zip | 30309-1281
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Country | US
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Telephone | 770-801-2526
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Fax | 678-244-8207
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 67702
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 038700
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 35.143422
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME136825
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 036177511
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 01079083A
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License Number State | IN
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