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NPI 1841911278

NPI 1841911278 : GINGER HAMILTON BOWLES : CHARDON, OH

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General NPI Number Information
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    NPI Number           |    1841911278
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    Entity Type          |    Individual 
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    Provider Name        |    GINGER HAMILTON BOWLES
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/05/2022
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    Last Update Date     |    09/05/2022
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Provider Practice Location Address
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    Address Line         |    12557 RAVENWOOD DR 
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    City                 |    CHARDON
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    State                |    OH
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    Zip                  |    44024-9009
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    Country              |    US
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    Telephone            |    800-465-3205
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    313 WOODARD AVE 
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    City                 |    KENT
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    State                |    OH
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    Zip                  |    44240-2253
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    Country              |    US
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    Telephone            |    330-808-3359
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    Fax                  |    
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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