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NPI Code Detail

MEDICARE: LUANA MARIA VAN DUNEM BARTOLOMEU DE FARIA

MEDICARE: LUANA MARIA VAN DUNEM BARTOLOMEU DE FARIA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker66056TX

General Provider Information

NPI Number : 1063147221
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUANA MARIA VAN DUNEM BARTOLOMEU DE FARIA
Provider Business Mailing Address
First Line : 6114 SUMMER CREEK CIR
Second Line :
City : DALLAS
State : TX
Zip : 75231-7505
Country : US
Telephone Number : 786-523-1242
Fax Number :
Provider Business Practice Location Address
First Line : 2010 AL LIPSCOMB WAY
Second Line :
City : DALLAS
State : TX
Zip : 75215-2773
Country : US
Telephone Number : 786-523-1242
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2022
Last Update Date : 07/21/2022

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Directions to “ LUANA MARIA VAN DUNEM BARTOLOMEU DE FARIA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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