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General NPI Number Information
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NPI Number | 1225743065
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Entity Type | Individual
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Provider Name | FIORELLA BIANCHI LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/17/2023
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 2555 NW 102ND AVE STE 210
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City | DORAL
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State | FL
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Zip | 33172-2131
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Country | US
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Telephone | 786-973-0292
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Fax |
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Provider Business Mailing Address
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Address Line | 10130 SW 118TH CT
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City | MIAMI
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State | FL
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Zip | 33186-2743
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Country | US
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Telephone | 786-973-0292
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW20062
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License Number State | FL
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