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General NPI Number Information
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NPI Number | 1750520078
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Entity Type | Organization
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Legal Business Name | BOWERS THERAPY SERVICES P.L.C
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Dates
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Enumeration Date | 02/10/2009
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Last Update Date | 04/26/2012
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Provider Practice Location Address
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Address Line | 422 N LA PAZ ST
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City | DEWEY
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State | AZ
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Zip | 86327-7147
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Country | US
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Telephone | 928-899-0440
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Fax |
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Provider Business Mailing Address
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Address Line | 422 N LA PAZ ST
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City | DEWEY
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State | AZ
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Zip | 86327-7147
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Country | US
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Telephone | 928-899-0374
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | MRS. JENNIFER BOWERS
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Credential | M.S., CCC-SLP
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Telephone | 928-899-0374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP5198
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP5433
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License Number State | AZ
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