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General NPI Number Information
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NPI Number | 1154543213
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Entity Type | Organization
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Legal Business Name | B S BONYO DO & ASSOCIATES INC
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 04/30/2024
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Provider Practice Location Address
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Address Line | 1569 VERNON ODOM BLVD
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City | AKRON
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State | OH
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Zip | 44320-4089
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Country | US
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Telephone | 330-867-7544
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Fax | 330-867-7434
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Provider Business Mailing Address
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Address Line | 1569 VERNON ODOM BLVD
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City | AKRON
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State | OH
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Zip | 44320-4089
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Country | US
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Telephone | 330-867-7544
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Fax | 330-867-7434
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Authorized Official
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Title or Position | OWNER
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Name | DR. BENSON S. BONYO
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Credential | DO
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Telephone | 330-867-7544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34007305B
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License Number State | OH
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