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General NPI Number Information
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NPI Number | 1013419183
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Entity Type | Individual
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Provider Name | ARIADNA GONZALEZ BERMUDEZ
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Gender | Female
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Dates
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Enumeration Date | 03/05/2018
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 18300 NW 62ND AVE STE 200
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City | HIALEAH
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State | FL
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Zip | 33015-8207
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Country | US
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Telephone | 786-304-7731
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Fax | 786-353-2349
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Provider Business Mailing Address
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Address Line | 18300 NW 62ND AVE STE 200
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City | HIALEAH
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State | FL
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Zip | 33015-8207
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Country | US
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Telephone | 786-304-7731
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Fax | 786-353-2349
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ISW22064
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License Number State | FL
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