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General NPI Number Information
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NPI Number | 1609973288
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Entity Type | Individual
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Provider Name | BRAD NOWLIN LMFT
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Gender | Male
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Dates
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Enumeration Date | 09/17/2006
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Last Update Date | 06/20/2016
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Provider Practice Location Address
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Address Line | 550 BAILEY AVE 235
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City | FORT WORTH
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State | TX
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Zip | 76107-2155
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Country | US
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Telephone | 913-579-8526
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Fax | 817-886-8489
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Provider Business Mailing Address
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Address Line | 9101 W 128TH ST
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City | OVERLAND PARK
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State | KS
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Zip | 66213-3018
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Country | US
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Telephone | 913-579-8526
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Fax | 817-886-8489
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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 | 326
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License Number State | KS
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