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General NPI Number Information
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NPI Number | 1629108345
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Entity Type | Individual
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Provider Name | CHERYL L BOWIE LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 08/11/2009
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Provider Practice Location Address
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Address Line | 2700 TIBBETS DR SUITE 408
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City | BEDFORD
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State | TX
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Zip | 76022-5928
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Country | US
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Telephone | 817-545-8895
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Fax | 817-545-8897
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Provider Business Mailing Address
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Address Line | 2700 TIBBETS DR SUITE 408
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City | BEDFORD
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State | TX
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Zip | 76022-5928
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Country | US
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Telephone | 817-545-8895
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Fax | 817-545-8897
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 16979
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 16979
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License Number State | TX
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