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General NPI Number Information
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NPI Number | 1225983794
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Entity Type | Individual
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Provider Name | JESSICA BONETTI
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Gender | Female
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 711 BELMONT AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44502-1039
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Country | US
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Telephone | 330-793-2487
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Fax | 330-743-5748
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Provider Business Mailing Address
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Address Line | 348 ALBRIGHT MCKAY RD SE
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City | BROOKFIELD
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State | OH
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Zip | 44403-9706
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Country | US
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Telephone | 724-992-4818
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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