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General NPI Number Information
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NPI Number | 1235493552
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Entity Type | Individual
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Provider Name | COURTNEY LEE BOWERS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/02/2012
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 10400 N CENTRAL EXPY
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City | DALLAS
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State | TX
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Zip | 75231-2297
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Country | US
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Telephone | 972-884-4390
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Fax | 972-674-2616
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Provider Business Mailing Address
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Address Line | 3217 SUGARBUSH DR
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City | CARROLLTON
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State | TX
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Zip | 75007-2928
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Country | US
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Telephone | 972-712-2669
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Fax | 972-712-4514
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 114115
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License Number State | TX
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