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General NPI Number Information
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NPI Number | 1679748404
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Entity Type | Individual
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Provider Name | BOBI JO BONAR OTR/L
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Gender | Female
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 3291 NORTHPOINTE DR
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City | ZANESVILLE
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State | OH
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Zip | 43701-2593
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Country | US
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Telephone | 740-452-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 1555 NEWARK RD
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City | ZANESVILLE
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State | OH
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Zip | 43701-2694
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Country | US
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Telephone | 740-588-1220
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT011797
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License Number State | OH
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