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General NPI Number Information
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NPI Number | 1215348750
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Entity Type | Individual
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Provider Name | PATRICIA BOWERS LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/19/2014
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 600 N MOUNTAIN AVE STE B106
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City | UPLAND
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State | CA
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Zip | 91786
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Country | US
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Telephone | 909-815-9841
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Fax |
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Provider Business Mailing Address
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Address Line | 11688 OXFORD CT
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City | ADELANTO
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State | CA
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Zip | 92301-3696
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Country | US
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Telephone | 760-486-3064
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Fax |
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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 |
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License Number State |
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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 | 79938
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License Number State | CA
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