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General NPI Number Information
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NPI Number | 1689988115
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Entity Type | Individual
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Provider Name | LACEY GAIL BONEWITZ LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/26/2010
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Last Update Date | 03/23/2015
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Provider Practice Location Address
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Address Line | 1201 E 9TH ST
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City | BONHAM
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State | TX
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Zip | 75418-4059
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Country | US
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Telephone | 903-583-2111
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Fax |
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Provider Business Mailing Address
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Address Line | 600 IVY LN
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City | NEVADA
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State | TX
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Zip | 75173-8493
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Country | US
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Telephone | 214-492-9424
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 53433
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License Number State | TX
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