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General NPI Number Information
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NPI Number | 1598017790
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Entity Type | Individual
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Provider Name | HOPE STEPHANIE BONGIORNO MS. ED, SAS
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Gender | Female
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Dates
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Enumeration Date | 10/11/2012
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Last Update Date | 10/11/2012
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Provider Practice Location Address
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Address Line | 241 BERNHARDT DR
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City | SNYDER
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State | NY
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Zip | 14226-4724
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Country | US
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Telephone | 716-839-9497
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Fax | 716-839-9497
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Provider Business Mailing Address
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Address Line | 241 BERNHARDT DR
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City | SNYDER
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State | NY
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Zip | 14226-4724
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Country | US
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Telephone | 716-839-9497
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Fax | 716-839-9497
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 252235891
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License Number State | NY
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