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General NPI Number Information
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NPI Number | 1578194080
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Entity Type | Individual
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Provider Name | CATHY BOND
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Gender | Female
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Dates
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Enumeration Date | 02/03/2020
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Last Update Date | 02/03/2020
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Provider Practice Location Address
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Address Line | 5306 OSHEA LN
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City | STONE MOUNTAIN
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State | GA
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Zip | 30088-1417
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Country | US
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Telephone | 770-410-8135
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Fax | 770-498-6857
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Provider Business Mailing Address
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Address Line | 5306 OSHEA LN
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City | STONE MOUNTAIN
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State | GA
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Zip | 30088-1417
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Country | US
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Telephone | 770-410-8135
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Fax | 770-498-6857
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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Taxonomy #5
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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