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General NPI Number Information
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NPI Number | 1134341738
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Entity Type | Individual
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Provider Name | KATHRYN A BONDURA LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 02/19/2009
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Provider Practice Location Address
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Address Line | 13 WESTWOOD ROAD
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City | POTTSVILLE
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State | PA
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Zip | 17901
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Country | US
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Telephone | 570-628-0466
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Fax | 570-628-3343
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Provider Business Mailing Address
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Address Line | 534 SUNBURY ST
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City | MINERSVILLE
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State | PA
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Zip | 17954-1016
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Country | US
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Telephone | 570-544-2016
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW015656
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC04828300
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License Number State | NJ
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