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General NPI Number Information
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NPI Number | 1477712370
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Entity Type | Organization
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Legal Business Name | LINDA D BOWERS LCSW PA
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Dates
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Enumeration Date | 06/05/2008
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Last Update Date | 09/12/2008
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Provider Practice Location Address
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Address Line | 7901 4TH ST N STE 309
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City | SAINT PETERSBURG
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State | FL
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Zip | 33702-4305
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Country | US
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Telephone | 727-329-6500
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Fax | 727-329-6555
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Provider Business Mailing Address
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Address Line | 7901 4TH ST N STE 309
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City | SAINT PETERSBURG
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State | FL
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Zip | 33702-4305
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Country | US
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Telephone | 727-329-6500
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Fax | 727-329-6555
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Authorized Official
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Title or Position | PRESIDENT
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Name | LINDA D BOWERS
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Credential | LCSW
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Telephone | 727-329-6500
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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 | SW2164
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License Number State | FL
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