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General NPI Number Information
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NPI Number | 1508147471
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Entity Type | Individual
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Provider Name | BIANCA CACERES
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Gender | Female
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Dates
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Enumeration Date | 09/06/2011
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 10300 SW 216TH ST
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City | MIAMI
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State | FL
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Zip | 33190-3319
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Country | US
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Telephone | 305-253-5100
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Fax | 305-597-3863
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Provider Business Mailing Address
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Address Line | 10300 SW 216TH ST SUITE 501
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City | MIAMI
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State | FL
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Zip | 33190-6556
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Country | US
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Telephone | 305-253-5100
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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 | SW18471
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License Number State | FL
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Taxonomy #2
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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 | FL
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