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General NPI Number Information
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NPI Number | 1437739588
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Entity Type | Individual
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Provider Name | MARIAN BOVA PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 04/13/2021
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 300 CORPORATE CENTER DR STE 102
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City | CAMP HILL
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State | PA
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Zip | 17011-9927
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Country | US
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Telephone | 717-439-4914
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Fax |
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Provider Business Mailing Address
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Address Line | 2417 NEW YORK AVE
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City | CAMP HILL
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State | PA
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Zip | 17011-7318
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Country | US
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Telephone | 717-439-4914
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS015897
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License Number State | PA
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