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General NPI Number Information
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NPI Number | 1366129298
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Entity Type | Individual
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Provider Name | MYRET BULGIN
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Gender | Female
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Dates
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Enumeration Date | 07/03/2023
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Last Update Date | 07/03/2023
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Provider Practice Location Address
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Address Line | 404 W SUPERIOR ST STE 210
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City | DULUTH
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State | MN
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Zip | 55802-1569
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Country | US
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Telephone | 218-606-1100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 58
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City | HAYWARD
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State | WI
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Zip | 54843-0058
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Country | US
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Telephone | 954-654-8951
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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