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General NPI Number Information
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NPI Number | 1396090692
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Entity Type | Individual
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Provider Name | TONYA J BOWMAN M.S.W.
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Gender | Female
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Dates
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Enumeration Date | 07/23/2012
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Last Update Date | 07/31/2012
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Provider Practice Location Address
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Address Line | 1 JARRETT WHITE RD
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City | TRIPLER AMC
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State | HI
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Zip | 96859-5001
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Country | US
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Telephone | 443-758-3257
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Fax |
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Provider Business Mailing Address
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Address Line | 5334 SHIELDS ST
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City | HONOLULU
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State | HI
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Zip | 96818-3457
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Country | US
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Telephone | 443-758-3257
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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 | 12762
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License Number State | MD
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