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General NPI Number Information
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NPI Number | 1437378890
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Entity Type | Individual
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Provider Name | RAY LEE BOWMAN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 6740 CROSSWINDS DR N SUITE H
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City | ST PETERSBURG
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State | FL
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Zip | 33710-8606
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Country | US
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Telephone | 727-345-1234
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Fax | 727-344-0000
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Provider Business Mailing Address
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Address Line | 6740 CROSSWINDS DR N SUITE H
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City | ST PETERSBURG
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State | FL
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Zip | 33710-8606
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Country | US
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Telephone | 727-345-1234
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Fax | 727-344-0000
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PY00002068
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | PY00002068
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY00002068
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PY00002068
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | PY00002068
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License Number State | FL
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