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General NPI Number Information
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NPI Number | 1285395061
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Entity Type | Individual
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Provider Name | BRIANNA BOWMAN
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Gender | Female
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Dates
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Enumeration Date | 01/04/2022
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Last Update Date | 11/30/2025
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Provider Practice Location Address
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Address Line | 724 E SUPERIOR ST
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City | ALMA
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State | MI
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Zip | 48801-1900
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Country | US
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Telephone | 989-331-0233
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Fax |
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Provider Business Mailing Address
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Address Line | 215 W EMERSON ST
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City | ITHACA
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State | MI
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Zip | 48847-1019
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Country | US
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Telephone | 931-993-5637
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 7401003120
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License Number State | MI
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