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General NPI Number Information
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NPI Number | 1801238993
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Entity Type | Individual
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Provider Name | JANE MARIE BOWLING PH.D
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Gender | Female
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Dates
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Enumeration Date | 07/18/2013
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Last Update Date | 04/18/2017
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Provider Practice Location Address
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Address Line | 2021 FRANKFORT AVE
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City | LOUISVILLE
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State | KY
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Zip | 40206-2028
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Country | US
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Telephone | 502-417-4921
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Fax | 502-899-7625
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Provider Business Mailing Address
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Address Line | 2021 FRANKFORT AVE
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City | LOUISVILLE
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State | KY
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Zip | 40206-2028
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Country | US
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Telephone | 502-417-4921
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Fax | 502-899-7625
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 128156
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1005
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License Number State | KY
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