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General NPI Number Information
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NPI Number | 1477029379
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Entity Type | Individual
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Provider Name | PHILIP ANDREW BOWER MSW, LICSW
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Gender | Male
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Dates
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Enumeration Date | 10/17/2018
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 1 UNION ST FL 3
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City | BOSTON
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State | MA
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Zip | 02108-2421
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Country | US
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Telephone | 617-865-9286
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Fax |
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Provider Business Mailing Address
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Address Line | 650 HUNTINGTON AVE APT 10K
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City | BOSTON
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State | MA
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Zip | 02115-5908
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Country | US
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Telephone | 617-221-5582
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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 | LW61482139
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License Number State | WA
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