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General NPI Number Information
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NPI Number | 1144351578
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Entity Type | Individual
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Provider Name | ALEX R BOWMAN ED.S.
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Gender | Male
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 2400 BALDWIN ST
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City | ARCATA
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State | CA
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Zip | 95521-5168
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Country | US
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Telephone | 707-822-4858
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Fax | 707-822-6419
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Provider Business Mailing Address
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Address Line | 1435 BUTTERMILK LN
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City | ARCATA
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State | CA
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Zip | 95521-6909
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Country | US
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Telephone | 707-822-0351
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Fax | 707-822-6589
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State | CA
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