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General NPI Number Information
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NPI Number | 1730538257
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Entity Type | Organization
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Legal Business Name | BONNIE NESS AND ASSOCIATES
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Dates
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Enumeration Date | 06/06/2016
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Last Update Date | 06/06/2016
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Provider Practice Location Address
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Address Line | 6081 N 1ST ST STE 102
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City | FRESNO
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State | CA
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Zip | 93710-5466
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Country | US
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Telephone | 559-301-7582
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Fax |
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Provider Business Mailing Address
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Address Line | 6081 N 1ST ST STE 102
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City | FRESNO
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State | CA
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Zip | 93710-5466
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Country | US
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Telephone | 559-301-7582
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JAYLENE BOOTH
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Credential |
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Telephone | 559-797-6055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY18448
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | IMF86429
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | IMF74123
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | IMF75782
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | IMF79510
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCS12021
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License Number State | CA
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