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General NPI Number Information
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NPI Number | 1215710280
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Entity Type | Individual
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Provider Name | STEPHEN OSEI-BONSU
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Gender | Male
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Dates
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Enumeration Date | 08/15/2023
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | 288 GROVE ST
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City | WORCESTER
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State | MA
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Zip | 01605-3934
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Country | US
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Telephone | 978-621-5446
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Fax |
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Provider Business Mailing Address
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Address Line | 60 MAPLE ST
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City | SPENCER
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State | MA
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Zip | 01562-2529
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Country | US
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Telephone | 774-282-0242
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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