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General NPI Number Information
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NPI Number | 1356226716
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Entity Type | Organization
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Legal Business Name | BOWSER COUNSELING LLC
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 1680 E JOYCE BLVD
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-6214
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Country | US
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Telephone | 479-222-1690
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Fax |
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Provider Business Mailing Address
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Address Line | 1757 N MERION WAY APT 106
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City | FAYETTEVILLE
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State | AR
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Zip | 72704-6598
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MYKAYLA BOWSER
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Credential |
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Telephone | 870-394-6421
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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