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General NPI Number Information
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NPI Number | 1730105834
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Entity Type | Individual
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Provider Name | BONNIE GOLDEN LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 08/12/2011
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Provider Practice Location Address
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Address Line | 8989 COTSWOLD DR SUITE 8
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City | BURKE
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State | VA
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Zip | 22015-1601
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Country | US
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Telephone | 703-447-8389
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Fax | 703-391-1595
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Provider Business Mailing Address
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Address Line | 3217 BRYNWOOD PL
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City | OAK HILL
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State | VA
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Zip | 20171-3922
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904000541
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License Number State | VA
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