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General NPI Number Information
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NPI Number | 1124252820
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Entity Type | Individual
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Provider Name | ELIZABETH BONSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/08/2009
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 205 WABASHA ST S
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City | SAINT PAUL
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State | MN
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Zip | 55107-1805
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Country | US
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Telephone | 651-293-8100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 50095
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City | SEATTLE
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State | WA
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Zip | 98145-5095
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Country | US
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Telephone | 206-543-6420
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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 | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | N8625
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | MD60285551
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 13604
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 79885
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License Number State | MN
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