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General NPI Number Information
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NPI Number | 1609120401
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Entity Type | Individual
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Provider Name | BONNIE BAWEL
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Gender | Female
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Dates
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Enumeration Date | 10/31/2012
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Last Update Date | 10/31/2012
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Provider Practice Location Address
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Address Line | 11530 320TH AVE NE
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City | CARNATION
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State | WA
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Zip | 98014-9792
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Country | US
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Telephone | 425-844-4717
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Fax | 425-844-4717
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Provider Business Mailing Address
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Address Line | PO BOX 519
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City | DUVALL
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State | WA
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Zip | 98019-0519
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Country | US
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Telephone | 425-844-4516
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Fax | 425-844-4521
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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