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NPI Code Detail

MEDICARE: VICTORIA BONIN MS

MEDICARE: VICTORIA BONIN MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1922769108
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA BONIN MS
Provider Business Mailing Address
First Line : 1274 CURRAN HWY
Second Line :
City : NORTH ADAMS
State : MA
Zip : 01247-3907
Country : US
Telephone Number : 413-664-9024
Fax Number : 413-664-6742
Provider Business Practice Location Address
First Line : 1274 CURRAN HWY
Second Line :
City : NORTH ADAMS
State : MA
Zip : 01247-3907
Country : US
Telephone Number : 413-664-9024
Fax Number : 413-664-6742
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2022
Last Update Date : 01/10/2022

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