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General NPI Number Information
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NPI Number | 1033255575
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Entity Type | Individual
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Provider Name | MATTHEW RONALD DE BONA AP, DOM, L.AP
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Gender | Male
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 5344 9TH ST STE 106
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-4348
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Country | US
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Telephone | 813-588-2028
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Fax | 813-434-2277
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Provider Business Mailing Address
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Address Line | 5344 9TH ST STE 106
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City | ZEPHYRHILLS
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State | FL
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Zip | 33542-4348
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Country | US
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Telephone | 813-588-2028
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Fax | 813-434-2277
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP1555
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License Number State | FL
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