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General NPI Number Information
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NPI Number | 1366538043
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Entity Type | Individual
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Provider Name | JOHN ALAN BOVA LPC, LICDC, CNP-BC
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 03/05/2012
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Provider Practice Location Address
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Address Line | 1175 NEWARK RD
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City | ZANESVILLE
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State | OH
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Zip | 43701-2618
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Country | US
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Telephone | 740-260-2068
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Fax |
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Provider Business Mailing Address
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Address Line | 1175 NEWARK RD
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City | ZANESVILLE
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State | OH
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Zip | 43701-2618
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Country | US
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Telephone | 740-260-2068
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C6794
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 976194
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 10308
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License Number State | OH
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