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General NPI Number Information
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NPI Number | 1972630002
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Entity Type | Individual
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Provider Name | BARBARA BOSEY LCSW, PH.D.
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3406 BOONE TRL
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City | FAYETTEVILLE
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State | NC
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Zip | 28306-2138
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Country | US
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Telephone | 910-829-0443
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Fax | 910-829-0446
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Provider Business Mailing Address
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Address Line | 3406 BOONE TRL
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City | FAYETTEVILLE
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State | NC
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Zip | 28306-2138
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Country | US
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Telephone | 910-829-0443
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Fax | 910-829-0446
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | C001771
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License Number State | NC
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