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General NPI Number Information
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NPI Number | 1508179680
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Entity Type | Organization
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Legal Business Name | BOWMAN COUNSELING AND CONSULTING, INC.
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Dates
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Enumeration Date | 07/19/2010
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Last Update Date | 07/20/2010
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Provider Practice Location Address
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Address Line | 9292 N MERIDIAN ST STE 311
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1828
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Country | US
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Telephone | 317-670-9202
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Fax | 317-219-7327
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Provider Business Mailing Address
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Address Line | 9292 N MERIDIAN ST STE 311
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1828
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Country | US
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Telephone | 317-670-9202
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Fax | 317-219-7327
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. CHARLES E. BOWMAN
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Credential | M.S.
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Telephone | 317-670-9202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 39000297A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 35000195A
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License Number State | IN
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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 | 34002755A
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License Number State | IN
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