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General NPI Number Information
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NPI Number | 1851126767
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Entity Type | Individual
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Provider Name | EMILY BONSALL
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Gender | Female
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Dates
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Enumeration Date | 09/03/2024
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 1556 S SULTANA AVE
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City | ONTARIO
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State | CA
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Zip | 91761-4238
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Country | US
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Telephone | 909-418-6923
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Fax | 909-418-6937
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Provider Business Mailing Address
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Address Line | PO BOX 33568
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City | SAN DIEGO
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State | CA
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Zip | 92163-3568
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Country | US
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Telephone | 855-223-7123
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Fax | 619-374-7134
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Authorized Official
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Title or Position |
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Name |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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