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General NPI Number Information
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NPI Number | 1417729872
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Entity Type | Organization
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Legal Business Name | MISTY BONHAM LLC
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Dates
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Enumeration Date | 10/27/2023
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Last Update Date | 10/27/2023
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Provider Practice Location Address
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Address Line | 358 NW 1ST AVE
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City | CANBY
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State | OR
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Zip | 97013-3533
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Country | US
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Telephone | 503-427-8255
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 755
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City | CANBY
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State | OR
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Zip | 97013-0755
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Country | US
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Telephone | 503-427-8255
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Fax |
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Authorized Official
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Title or Position | OWNER/LCSW
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Name | MISTY BONHAM
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Credential |
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Telephone | 503-427-8255
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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 |
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License Number State |
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