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General NPI Number Information
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NPI Number | 1114876927
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Entity Type | Individual
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Provider Name | JILLIAN ROSE BULAONG
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Gender | Female
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Dates
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Enumeration Date | 01/26/2026
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 3500 VICTORIA ST VB 360A
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City | PITTSBURGH
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State | PA
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Zip | 15261-2543
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Country | US
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Telephone | 888-747-0794
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Fax |
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Provider Business Mailing Address
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Address Line | 1709 5TH AVE APT 411
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City | PITTSBURGH
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State | PA
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Zip | 15219-5645
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Country | US
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Telephone | 443-718-1220
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R254418
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License Number State | MD
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