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General NPI Number Information
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NPI Number | 1013048958
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Entity Type | Individual
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Provider Name | TRACEY A BOWLES M.A., MFT,
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Gender | Female
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 02/03/2017
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Provider Practice Location Address
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Address Line | 2655 ENTERPRISE RD
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City | RENO
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State | NV
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Zip | 89512-1666
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Country | US
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Telephone | 775-688-1600
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Fax | 775-688-1616
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Provider Business Mailing Address
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Address Line | 2655 ENTERPRISE RD
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City | RENO
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State | NV
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Zip | 89512-1666
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Country | US
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Telephone | 775-688-1600
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Fax | 775-688-1616
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0931
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 48614
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License Number State | CA
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