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General NPI Number Information
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NPI Number | 1205883493
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Entity Type | Individual
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Provider Name | WILHELMINA F BOSMAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1111 SE FEDERAL HWY SUITE 218
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City | STUART
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State | FL
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Zip | 34994-3840
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Country | US
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Telephone | 772-283-0541
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Fax | 772-220-9894
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Provider Business Mailing Address
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Address Line | 266 SW HOMELAND RD
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34953-6205
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Country | US
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Telephone | 772-336-4435
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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 | SW7361
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License Number State | FL
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