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General NPI Number Information
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NPI Number | 1033014170
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Entity Type | Organization
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Legal Business Name | BOWMAN MARRIAGE AND FAMILY THERAPY PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 2727 CAMINO DEL RIO S STE 140
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City | SAN DIEGO
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State | CA
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Zip | 92108-3739
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Country | US
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Telephone | 619-335-8377
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Fax |
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Provider Business Mailing Address
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Address Line | 2727 CAMINO DEL RIO S STE 140
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City | SAN DIEGO
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State | CA
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Zip | 92108-3739
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | AUSTIN DAVIS BOWMAN
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Credential | MA, LMFT164734
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Telephone | 619-335-8377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State | NULL
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