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NPI 1851508758

NPI 1851508758 : BIRGITTE BONNING ESPITIA PH.D., MFT : HILLSBOROUGH, NC

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General NPI Number Information
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    NPI Number           |    1851508758
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    Entity Type          |    Individual 
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    Provider Name        |    BIRGITTE BONNING ESPITIA PH.D., MFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/17/2007
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    Last Update Date     |    11/04/2009
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Provider Practice Location Address
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    Address Line         |    500 N NASH ST 
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    City                 |    HILLSBOROUGH
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    State                |    NC
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    Zip                  |    27278-2034
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    Country              |    US
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    Telephone            |    919-644-6590
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    136 EAST CHAPEL HILL ST. EL FUTURO
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    City                 |    DURHAM
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    State                |    NC
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    Zip                  |    27701
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    Country              |    US
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    Telephone            |    919-688-7101
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    Fax                  |    919-688-7102
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    
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