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General NPI Number Information
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NPI Number | 1649981119
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Entity Type | Individual
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Provider Name | STEPHANIE ANNE BOWSER PSYD
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Gender | Female
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Dates
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Enumeration Date | 12/06/2022
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 195 NE GILMAN BLVD STE 100
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City | ISSAQUAH
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State | WA
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Zip | 98027-2940
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Country | US
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Telephone | 425-295-7697
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Fax |
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Provider Business Mailing Address
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Address Line | 23301 LAKEVIEW DR UNIT A103
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City | MOUNTLAKE TER
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State | WA
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Zip | 98043-2814
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Country | US
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Telephone |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSYC.PY.61367153
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License Number State | WA
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