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General NPI Number Information
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NPI Number | 1528713583
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Entity Type | Individual
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Provider Name | BONITA FAYE BOWERS PH.D.
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Gender | Female
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Dates
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Enumeration Date | 02/18/2022
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 17100 E SHEA BLVD STE 600
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85268-6663
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Country | US
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Telephone | 859-583-2542
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Fax |
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Provider Business Mailing Address
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Address Line | 522 HALONA ST
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City | SANTA FE
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State | NM
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Zip | 87505-0302
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Country | US
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Telephone | 859-583-2542
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 410178
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 1903216
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 10187463
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 10231756
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License Number State | AZ
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