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General NPI Number Information
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NPI Number | 1053373258
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Entity Type | Individual
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Provider Name | STEPHEN BONEY PH.D CCC-A
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Gender | Male
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Dates
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Enumeration Date | 04/04/2006
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Last Update Date | 11/08/2010
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Provider Practice Location Address
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Address Line | 253 BARKLEY MEMORIAL CENTEER
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City | LINCOLN
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State | NE
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Zip | 68583-0731
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Country | US
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Telephone | 402-472-2068
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Fax |
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Provider Business Mailing Address
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Address Line | 253 BARKLEY MEMORIAL CENTEER
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City | LINCOLN
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State | NE
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Zip | 68583-0731
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Country | US
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Telephone |
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 93
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 651
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License Number State | NE
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