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General NPI Number Information
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NPI Number | 1912043530
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Entity Type | Individual
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Provider Name | SANDRA GALE BOWERS PSY.D
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Gender | Female
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 07/09/2012
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Provider Practice Location Address
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Address Line | 400 8TH ST
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City | HOQUIAM
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State | WA
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Zip | 98550-3600
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Country | US
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Telephone | 360-637-8049
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Fax | 360-637-9048
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Provider Business Mailing Address
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Address Line | 400 8TH STREET
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City | HOQUIAM
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State | WA
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Zip | 98550
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Country | US
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Telephone | 360-584-6569
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | TE00003649
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License Number State | WA
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