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General NPI Number Information
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NPI Number | 1700051695
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Entity Type | Organization
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Legal Business Name | REBECCA BONCHECK VMD PA
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 07/03/2008
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Provider Practice Location Address
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Address Line | 650 US HWY 206 S SUITE I
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City | BORDENTOWN
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State | NJ
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Zip | 08505-1518
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Country | US
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Telephone | 609-298-3888
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Fax | 609-298-1483
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Provider Business Mailing Address
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Address Line | 650 US HIGHWAY 206 S SUITE I
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City | BORDENTOWN
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State | NJ
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Zip | 08505-1518
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Country | US
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Telephone | 609-298-3888
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Fax | 609-298-1483
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Authorized Official
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Title or Position | OWNER
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Name | DR. REBECCA BONCHECK
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Credential | VMD
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Telephone | 609-298-3888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | VI00332800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 29V100332800
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License Number State | NJ
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