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General NPI Number Information
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NPI Number | 1023193893
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Entity Type | Individual
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Provider Name | BONNIE W WITMER CSW
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Gender | Female
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | BELMONT CENTER
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City | PHILADELPHIA
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State | PA
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Zip | 19131
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Country | US
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Telephone | 215-581-9142
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Fax | 215-581-3827
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Provider Business Mailing Address
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Address Line | 125 HATHAWAY LN
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City | HAVERTOWN
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State | PA
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Zip | 19083-1517
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Country | US
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Telephone | 215-581-9142
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Fax | 215-581-3827
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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 | CW013033
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License Number State | PA
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