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General NPI Number Information
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NPI Number | 1306365978
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Entity Type | Individual
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Provider Name | REBECCA SUE BONFEY LPCA
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Gender | Female
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Dates
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Enumeration Date | 09/15/2017
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Last Update Date | 11/16/2018
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Provider Practice Location Address
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Address Line | 2 LAURA JACKSON RD
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City | FAIRVIEW
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State | NC
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Zip | 28730-8700
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Country | US
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Telephone | 518-866-7323
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Fax | 828-505-4874
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Provider Business Mailing Address
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Address Line | 18 HOMEWOOD DR
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City | ASHEVILLE
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State | NC
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Zip | 28803-1247
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Country | US
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Telephone | 828-225-3100
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | A13013
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License Number State | NC
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