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General NPI Number Information
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NPI Number | 1073164695
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Entity Type | Individual
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Provider Name | CARA BONSMA LPC
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Gender | Female
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Dates
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Enumeration Date | 09/25/2019
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Last Update Date | 05/12/2023
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Provider Practice Location Address
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Address Line | 601 ROUTE 206 SUITE 26-452
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844
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Country | US
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Telephone | 609-759-0381
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Fax |
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Provider Business Mailing Address
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Address Line | 601 ROUTE 206 SUITE 26-452
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844
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Country | US
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Telephone | 609-759-0381
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00679400
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License Number State | NJ
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