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General NPI Number Information
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NPI Number | 1770903213
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Entity Type | Organization
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Legal Business Name | BOWES AND ASSOCIATES PSYCHOTHERAPY, LLC
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Dates
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Enumeration Date | 04/23/2014
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Last Update Date | 05/20/2016
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Provider Practice Location Address
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Address Line | 21789 N CORAL DR SUITE 2A
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City | LEXINGTON PARK
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State | MD
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Zip | 20653-5517
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Country | US
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Telephone | 240-237-8405
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Fax | 240-237-8480
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Provider Business Mailing Address
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Address Line | 44680 TALL TIMBERS RD
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City | TALL TIMBERS
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State | MD
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Zip | 20690-2212
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Country | US
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Telephone | 240-237-8405
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Fax | 240-237-8480
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Authorized Official
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Title or Position | PRESIDENT-LCPC
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Name | MRS. LORIANN MARIE BOWES
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Credential | MA-LCPC
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Telephone | 240-237-8405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LC3159
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License Number State | MD
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