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General NPI Number Information
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NPI Number | 1669651030
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Entity Type | Individual
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Provider Name | ANA K BULNES LICSW
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Gender | Female
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Dates
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Enumeration Date | 11/01/2007
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Last Update Date | 06/21/2023
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Provider Practice Location Address
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Address Line | 16782 SW 88TH ST # 344
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City | MIAMI
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State | FL
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Zip | 33196-5934
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Country | US
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Telephone | 802-557-1065
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Fax |
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Provider Business Mailing Address
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Address Line | 16782 SW 88TH ST # 344
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City | MIAMI
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State | FL
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Zip | 33196-5934
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Country | US
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Telephone | 802-557-1065
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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 | 124193
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 106311
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC21520
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License Number State | ME
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0890001176
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License Number State | VT
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW18148
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License Number State | FL
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