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NPI 1578719084

NPI 1578719084 : ALAN LEE BOWERS LMFT : ALBANY, CA

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General NPI Number Information
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    NPI Number           |    1578719084
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    Entity Type          |    Individual 
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    Provider Name        |    ALAN LEE BOWERS LMFT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/15/2008
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    Last Update Date     |    08/16/2016
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Provider Practice Location Address
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    Address Line         |    1041 SANTA FE AVE 
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    City                 |    ALBANY
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    State                |    CA
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    Zip                  |    94706-2341
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    Country              |    US
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    Telephone            |    510-914-3318
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    601 STEINER ST 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94117-2509
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    Country              |    US
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    Telephone            |    510-914-3318
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    80867
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    License Number State |    CA
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