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General NPI Number Information
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NPI Number | 1851650170
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Entity Type | Individual
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Provider Name | CARLA A CAVALIER BOWDOIN L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 05/07/2012
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Last Update Date | 03/18/2013
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Provider Practice Location Address
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Address Line | 734 SILVER SPUR RD STE 105
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City | ROLLING HILLS ESTATES
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State | CA
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Zip | 90274-3663
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Country | US
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Telephone | 213-247-0577
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Fax | 323-294-3127
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Provider Business Mailing Address
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Address Line | 734 SILVER SPUR RD STE 105
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City | ROLLING HILLS ESTATES
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State | CA
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Zip | 90274-3663
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Country | US
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Telephone | 213-247-0577
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Fax | 323-294-3127
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 26765
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License Number State | CA
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