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General NPI Number Information
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NPI Number | 1801843347
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Entity Type | Individual
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Provider Name | MARILYN KRASNER BONO MSW, BCD
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Gender | Female
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4545 42ND ST NW #212
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City | WASHINGTON
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State | DC
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Zip | 20016-4623
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Country | US
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Telephone | 202-966-1755
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Fax |
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Provider Business Mailing Address
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Address Line | 3742 CUMBERLAND ST NW
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City | WASHINGTON
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State | DC
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Zip | 20016-1816
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Country | US
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Telephone | 202-244-4855
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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 | LC300419
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License Number State | DC
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