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General NPI Number Information
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NPI Number | 1649428764
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Entity Type | Individual
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Provider Name | HALA BUNNI MD
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Gender | Female
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 02/11/2022
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Provider Practice Location Address
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Address Line | 8110 ROYAL PALM BLVD SUITE 108
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-5795
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Country | US
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Telephone | 954-341-8277
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Fax | 954-341-5165
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Provider Business Mailing Address
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Address Line | 8110 ROYAL PALM BLVD SUITE 108
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-5795
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Country | US
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Telephone | 954-341-8277
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Fax | 954-341-5165
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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 | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | ME126413
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License Number State | FL
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