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General NPI Number Information
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NPI Number | 1952590085
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Entity Type | Individual
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Provider Name | REBECCA ANNE BOWMAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 10/03/2022
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Provider Practice Location Address
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Address Line | 115 W ATLANTIC ST # 107
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City | BRANSON
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State | MO
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Zip | 65616-2462
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Country | US
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Telephone | 541-903-2590
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6554
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City | BRANSON
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State | MO
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Zip | 65615-6554
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Country | US
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Telephone | 541-903-2590
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | L10292
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License Number State | OR
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