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1982703088 NPI number — STEPHEN F. BONO PH.D.

NPI Number: 1982703088
Health Care Provider/Practitioner: STEPHEN F. BONO PH.D.

Information about “1982703088” NPI (STEPHEN F. BONO PH.D.) exists in 1982703088 in HTML format HTML  |  1982703088 in plain Text format TXT  |  1982703088 in PDF (Portable Document Format) PDF  |  1982703088 in an XML format XML  formats.

NPI Number : 1982703088 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982703088",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BONO",
    "FirstName": "STEPHEN",
    "MiddleName": "F.",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PH.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "126 W LEE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BALTIMORE",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21201-2421",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "410-547-0901",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2200 KERNAN DR",
    "SecondLinePracticeLocationAddress": "PAIN MANAGEMENT CENTER",
    "PracticeLocationAddressCityName": "BALTIMORE",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21207-6665",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "410-448-6624",
    "PracticeLocationAddressFaxNumber": "410-448-6825",
    "EnumerationDate": "09/22/2006",
    "LastUpdateDate": "06/20/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103TH0004X",
        "TaxonomyName": "Health Psychologist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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