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General NPI Number Information
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NPI Number | 1508940289
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Entity Type | Individual
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Provider Name | BOBBE JEAN CULLERS LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 809 W 26TH ST STE 1
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City | ERIE
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State | PA
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Zip | 16508-3205
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Country | US
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Telephone | 814-461-1192
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Fax | 814-461-0235
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Provider Business Mailing Address
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Address Line | 809 WEST 26TH SUITE 1
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City | ERIE
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State | PA
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Zip | 16508
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Country | US
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Telephone | 814-461-1192
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Fax | 814-461-0235
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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 | CW012468
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License Number State | PA
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