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General NPI Number Information
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NPI Number | 1023304391
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Entity Type | Individual
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Provider Name | AURELIO ANTONIO BULA D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/24/2011
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 5850 CORAL RIDGE DR STE 101B
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City | CORAL SPRINGS
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State | FL
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Zip | 33076-3379
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Country | US
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Telephone | 954-323-8788
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Fax | 954-323-8788
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Provider Business Mailing Address
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Address Line | 5850 CORAL RIDGE DR STE 101B
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City | CORAL SPRINGS
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State | FL
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Zip | 33076-3379
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Country | US
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Telephone | 954-323-8788
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Fax | 954-688-3414
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN21763
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License Number State | FL
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