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General NPI Number Information
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NPI Number | 1760577415
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Entity Type | Organization
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Legal Business Name | BONHEUR & ASSOCIATES, LTD.
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 10/24/2012
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Provider Practice Location Address
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Address Line | 5939 VILLAGE ST
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City | PORTSMOUTH
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State | VA
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Zip | 23703-3212
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Country | US
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Telephone | 757-484-4025
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Fax | 757-484-4103
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Provider Business Mailing Address
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Address Line | 5939 VILLAGE ST
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City | PORTSMOUTH
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State | VA
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Zip | 23703-3212
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Country | US
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Telephone | 757-484-4025
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Fax | 757-484-4103
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RONALD L G BONHEUR
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Credential | PHD, LCSW
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Telephone | 757-484-4025
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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 | 0904001091
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904000872
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License Number State | VA
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