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General NPI Number Information
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NPI Number | 1083701791
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Entity Type | Individual
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Provider Name | RAQUEL LLOBERA-BUNCE PH.D.
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Gender | Female
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 03/02/2023
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Provider Practice Location Address
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Address Line | 8333 W OKECHOBE RD
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City | HIALEAH GARDENS
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State | FL
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Zip | 33016-2109
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Country | US
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Telephone | 305-556-9900
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 560095
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City | MIAMI
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State | FL
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Zip | 33256-0095
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Country | US
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Telephone | 305-790-3932
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY 5635
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License Number State | FL
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