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General NPI Number Information
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NPI Number | 1548349053
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Entity Type | Individual
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Provider Name | KRISTIN BOWLES ROE L.P.C
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Gender | Female
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5113 PIPER STATION DR SUITE 207
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City | CHARLOTTE
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State | NC
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Zip | 28277-6513
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Country | US
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Telephone | 704-541-4242
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 BELVEDERE AVE
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City | CHARLOTTE
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State | NC
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Zip | 28205-3660
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Country | US
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Telephone | 704-780-7955
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 5233
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License Number State | NC
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