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General NPI Number Information
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NPI Number | 1871795005
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Entity Type | Individual
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Provider Name | TERRI D BONNER D.C.
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Gender | Female
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 02/19/2024
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Provider Practice Location Address
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Address Line | 100 VILLAGE SQUARE XING STE 207
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4531
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Country | US
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Telephone | 561-627-8464
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Fax | 561-775-5655
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Provider Business Mailing Address
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Address Line | 3178 BERMUDA RD
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City | WEST PALM BEACH
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State | FL
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Zip | 33410-2421
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Country | US
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Telephone | 561-627-8464
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH0005873
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License Number State | FL
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