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General NPI Number Information
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NPI Number | 1972338945
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Entity Type | Individual
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Provider Name | GEORGIE MARIE BOND LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/07/2024
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 1145 SAGAMORE AVE
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City | PORTSMOUTH
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State | NH
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Zip | 03801-5585
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Country | US
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Telephone | 603-957-5793
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Fax |
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Provider Business Mailing Address
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Address Line | 129 BARTLETT ST
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City | PORTSMOUTH
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State | NH
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Zip | 03801-3672
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Country | US
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Telephone | 203-241-5747
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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 | 108036
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 5563
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC23980
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License Number State | ME
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