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General NPI Number Information
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NPI Number | 1336028844
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Entity Type | Individual
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Provider Name | FRITZA VALBRUN
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Gender | Female
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 6669 GREAT BEAR DR
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City | LAKELAND
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State | FL
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Zip | 33805-2818
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Country | US
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Telephone | 313-213-2721
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Fax |
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Provider Business Mailing Address
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Address Line | 304 E PINE ST # 1196
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City | LAKELAND
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State | FL
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Zip | 33801-4969
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Country | US
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Telephone | 313-213-2721
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 116467
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | ISW22353
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License Number State | FL
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