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General NPI Number Information
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NPI Number | 1851169429
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Entity Type | Individual
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Provider Name | MR. ULYSSES DUNCAN BISSELL
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Gender | Male
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Dates
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Enumeration Date | 12/13/2023
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Last Update Date | 12/13/2023
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Provider Practice Location Address
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Address Line | 1951 NW 7TH AVE STE 300
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City | MIAMI
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State | FL
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Zip | 33136-1112
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Country | US
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Telephone | 305-902-6347
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Fax |
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Provider Business Mailing Address
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Address Line | 109 W MONUMENT ST APT 2B
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City | BALTIMORE
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State | MD
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Zip | 21201-4708
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Country | US
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Telephone | 203-832-4333
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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 |
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License Number State |
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