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General NPI Number Information
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NPI Number | 1316786163
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Entity Type | Individual
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Provider Name | DAWN MARIE BOOHER-TERRY LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/22/2024
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 32600 US HIGHWAY 281 N STE 1101
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City | BULVERDE
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State | TX
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Zip | 78163-3319
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Country | US
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Telephone | 830-624-6846
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Fax |
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Provider Business Mailing Address
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Address Line | 3651 TINTED COPPER
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City | BULVERDE
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State | TX
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Zip | 78163-1999
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Country | US
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Telephone | 316-300-3333
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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 | 63220
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License Number State | TX
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