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General NPI Number Information
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NPI Number | 1912971607
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Entity Type | Individual
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Provider Name | CATHERINE A. BULETZA MD
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Gender | Female
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Dates
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Enumeration Date | 02/17/2006
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 1309 N FLAGLER DR
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-3499
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Country | US
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Telephone | 973-831-5155
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Fax | 973-906-1069
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Provider Business Mailing Address
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Address Line | 11691 S SEA CT
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City | WELLINGTON
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State | FL
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Zip | 33449-8376
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Country | US
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Telephone | 732-299-8400
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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 | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 25MA06114400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | ME141180
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License Number State | FL
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