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General NPI Number Information
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NPI Number | 1831401389
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Entity Type | Individual
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Provider Name | CLIFFORD L BOND MDIV
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Gender | Male
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Dates
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Enumeration Date | 07/12/2010
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Last Update Date | 07/12/2010
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Provider Practice Location Address
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Address Line | 5847 SW 29TH ST
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City | TOPEKA
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State | KS
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Zip | 66614-2462
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Country | US
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Telephone | 785-273-7292
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Fax | 785-273-1201
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Provider Business Mailing Address
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Address Line | 4201 NW FIELDING RD
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City | TOPEKA
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State | KS
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Zip | 66618-2628
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Country | US
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Telephone | 785-286-4626
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State | KS
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