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NPI 1720175276

NPI 1720175276 : CATHERINE EMERSON BOWNE LCSWR : HERKIMER, NY

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General NPI Number Information
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    NPI Number           |    1720175276
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    Entity Type          |    Individual 
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    Provider Name        |    CATHERINE EMERSON BOWNE LCSWR
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/06/2006
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    Last Update Date     |    10/20/2010
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Provider Practice Location Address
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    Address Line         |    426 NORTH MAIN ST 
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    City                 |    HERKIMER
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    State                |    NY
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    Zip                  |    13350-0924
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    Country              |    US
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    Telephone            |    315-866-8283
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    Fax                  |    315-866-7488
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Provider Business Mailing Address
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    Address Line         |    PO BOX 924 
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    City                 |    HERKIMER
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    State                |    NY
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    Zip                  |    13350-0924
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    Country              |    US
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    Telephone            |    315-866-8283
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    Fax                  |    315-866-7488
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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       |    R0240921
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    License Number State |    NY
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