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General NPI Number Information
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NPI Number | 1528467628
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Entity Type | Organization
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Legal Business Name | ASHLEY A. BOWER, LLC
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Dates
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Enumeration Date | 08/14/2014
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Last Update Date | 08/14/2014
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Provider Practice Location Address
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Address Line | 7500 STONEBROOK PKWY SUITE 101
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City | FRISCO
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State | TX
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Zip | 75034-5377
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Country | US
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Telephone | 972-800-5095
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Fax |
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Provider Business Mailing Address
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Address Line | 7500 STONEBROOK PKWY SUITE 101
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City | FRISCO
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State | TX
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Zip | 75034-5377
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Country | US
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Telephone | 972-800-5095
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MRS. ASHLEY ALEXANDER BOWER
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Credential | OTR/L
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Telephone | 972-800-5095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 108438
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License Number State | TX
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