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General NPI Number Information
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NPI Number | 1457827909
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Entity Type | Individual
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Provider Name | JULIE MARIE BOWEN LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/22/2018
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Last Update Date | 04/10/2024
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Provider Practice Location Address
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Address Line | 5980 9TH ST BLDG 1259
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City | FORT BELVOIR
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State | VA
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Zip | 22060-5509
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Country | US
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Telephone | 571-231-1210
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Fax |
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Provider Business Mailing Address
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Address Line | 3252 TITANIC DR
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City | STAFFORD
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State | VA
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Zip | 22554-2627
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Country | US
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Telephone | 630-210-6048
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 0710103315
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0732000099
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904011141
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License Number State | VA
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