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General NPI Number Information
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NPI Number | 1689531964
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Entity Type | Organization
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Legal Business Name | DURHAM FOWLER PSYCHOTHERAPY INC
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 10 CURVE ST
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City | SHERBORN
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State | MA
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Zip | 01770-1051
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Country | US
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Telephone | 512-695-2632
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Fax |
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Provider Business Mailing Address
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Address Line | 10 CURVE ST
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City | SHERBORN
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State | MA
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Zip | 01770-1051
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Country | US
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Telephone | 512-695-2632
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEB THOMAS FOWLER
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Credential | PHD
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Telephone | 512-695-2632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP0814X
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Taxonomy Name | Psychoanalysis Psychologist
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License Number |
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License Number State |
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