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General NPI Number Information
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NPI Number | 1396807657
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Entity Type | Organization
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Legal Business Name | STEVEN H. BONNER M.D.,P,C,
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 07/28/2008
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Provider Practice Location Address
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Address Line | 505 ENERGY CENTER BLVD SUITE 605
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City | NORTHPORT
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State | AL
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Zip | 35473-5826
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Country | US
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Telephone | 205-758-8274
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Fax | 205-758-8374
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Provider Business Mailing Address
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Address Line | 505 ENERGY CENTER BLVD SUITE 605
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City | NORTHPORT
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State | AL
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Zip | 35473-5826
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Country | US
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Telephone | 205-758-8274
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Fax | 205-758-8374
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEVEN HUNTER BONNER
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Credential | M.D.
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Telephone | 205-758-8274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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