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General NPI Number Information
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NPI Number | 1659888030
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Entity Type | Individual
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Provider Name | MULVENIA BOWDEN
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Gender | Female
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Dates
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Enumeration Date | 01/06/2018
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 7412 GEORGIA AVE NW STE 4
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City | WASHINGTON
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State | DC
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Zip | 20012-1754
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Country | US
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Telephone | 202-531-7039
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Fax |
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Provider Business Mailing Address
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Address Line | 610 LARCHMONT AVE
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City | CAPITOL HEIGHTS
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State | MD
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Zip | 20743-2839
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LG50082053
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC200002249
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License Number State | DC
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