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General NPI Number Information
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NPI Number | 1578191961
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Entity Type | Individual
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Provider Name | BONNIE SUE HARMAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/31/2020
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Last Update Date | 09/27/2021
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Provider Practice Location Address
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Address Line | 3 NW BENT TREE CIR
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City | LAWTON
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State | OK
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Zip | 73505-9532
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Country | US
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Telephone | 580-574-5481
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Fax |
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Provider Business Mailing Address
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Address Line | 3161 HOSKINS RD
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City | FORT SILL
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State | OK
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Zip | 73503-4462
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Country | US
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Telephone | 580-442-8095
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6169
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 7869
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License Number State | OK
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