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General NPI Number Information
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NPI Number | 1134456478
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Entity Type | Organization
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Legal Business Name | AMY BOWERS PLLC
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Dates
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Enumeration Date | 11/06/2009
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Last Update Date | 03/25/2011
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Provider Practice Location Address
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Address Line | 1755 WEST 33RD STREET SUITE 100
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City | EDMOND
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State | OK
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Zip | 73013-2091
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Country | US
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Telephone | 405-414-1101
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Fax |
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Provider Business Mailing Address
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Address Line | 13233 SAINT ANDREWS DRIVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-8549
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Country | US
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Telephone | 405-414-1101
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Fax |
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Authorized Official
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Title or Position | CONTRACT THERAPIST
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Name | MRS. AMY CATHERINE BOWERS
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Credential | LPC
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Telephone | 405-414-1101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3925
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License Number State | OK
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