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NPI 1205345295

NPI 1205345295 : PAMELA CHRISTINE BOWERS LCSW-A : CHARLOTTE, NC

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General NPI Number Information
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    NPI Number           |    1205345295
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    Entity Type          |    Individual 
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    Provider Name        |    PAMELA CHRISTINE BOWERS LCSW-A
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/22/2017
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    Last Update Date     |    09/29/2025
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Provider Practice Location Address
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    Address Line         |    3917 FARLOW RD 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28269-0196
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    Country              |    US
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    Telephone            |    704-963-6165
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    284 EXECUTIVE PARK DR STE 100 
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    City                 |    CONCORD
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    State                |    NC
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    Zip                  |    28025-1833
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    Country              |    US
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    Telephone            |    704-939-1100
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    Fax                  |    704-939-1173
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    P023067
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    149.028589
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    License Number State |    IL
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