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Individual
MR. DAVID RONALD BOVE
Active
Individual
MR. DAVID RONALD BOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSWR
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R051033
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
365657
MVP HEALTHCARE
NY
01
—
7340118
VALUE OPTIONS PROVIDER#
NY
01
—
P2835545
OXFORD PROVIDER#
NY
Enumeration date
08/24/2006
Last updated
11/30/2007
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