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General NPI Number Information
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NPI Number | 1780004440
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Entity Type | Individual
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Provider Name | JORDAN BONIER D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/21/2014
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 2854 BELL ST
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City | ZANESVILLE
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State | OH
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Zip | 43701-1721
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Country | US
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Telephone | 740-454-3273
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Fax | 740-588-1081
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Provider Business Mailing Address
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Address Line | 6480 HARRISON AVE STE 201
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City | CINCINNATI
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State | OH
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Zip | 45247-7961
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Country | US
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Telephone | 513-818-0043
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Fax | 513-964-9575
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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 | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 34.014328
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License Number State | OH
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