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General NPI Number Information
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NPI Number | 1982804944
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Entity Type | Individual
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Provider Name | ALICIA LYNN BOWMAN D.P.T
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Gender | Female
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 07/18/2007
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Provider Practice Location Address
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Address Line | 2420 S UNION AVE STE 130
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City | TACOMA
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State | WA
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Zip | 98405-1306
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Country | US
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Telephone | 253-752-1070
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Fax | 253-752-2315
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Provider Business Mailing Address
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Address Line | 2210 S 10TH ST
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City | TACOMA
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State | WA
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Zip | 98405-3020
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Country | US
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Telephone | 360-970-1081
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT00010585
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License Number State | WA
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