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General NPI Number Information
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NPI Number | 1760788822
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Entity Type | Individual
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Provider Name | MARY ELIZABETH BOWLES PSYD, LMFT
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Gender | Female
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Dates
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Enumeration Date | 02/07/2011
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | PO BOX 1612
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City | POTTSBORO
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State | TX
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Zip | 75076-1612
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Country | US
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Telephone | 970-319-1999
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1612
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City | POTTSBORO
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State | TX
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Zip | 75076-1612
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Country | US
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Telephone | 970-319-1999
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Fax | 970-945-5523
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT4093
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT204129
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT.0001316
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number |
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License Number State |
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