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General NPI Number Information
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NPI Number | 1720744881
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Entity Type | Organization
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Legal Business Name | BONZA HEALTH
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Dates
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Enumeration Date | 11/12/2021
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Last Update Date | 06/27/2024
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Provider Practice Location Address
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Address Line | 1670 FISHINGER RD STE 210
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City | UPPER ARLINGTON
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State | OH
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Zip | 43221-1446
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Country | US
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Telephone | 614-829-8888
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Fax | 614-881-1792
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Provider Business Mailing Address
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Address Line | 1670 FISHINGER RD STE 210
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City | UPPER ARLINGTON
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State | OH
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Zip | 43221-1446
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Country | US
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Telephone | 614-829-8888
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Fax | 614-881-1792
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Authorized Official
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Title or Position | PHYSICIAN FOUNDER
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Name | DR. SARAH BONZA
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Credential | MD, MPH
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Telephone | 614-813-0764
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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