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General NPI Number Information
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NPI Number | 1982933990
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Entity Type | Individual
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Provider Name | COURTNEY ERIN BOWMAN LCPC
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Gender | Female
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Dates
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Enumeration Date | 12/22/2009
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Last Update Date | 06/13/2012
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Provider Practice Location Address
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Address Line | 800 ROOSEVELT RD BLDG B 419B
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City | GLEN ELLYN
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State | IL
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Zip | 60137-5839
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Country | US
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Telephone | 630-935-1638
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Fax | 630-935-1638
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Provider Business Mailing Address
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Address Line | 475 NANTUCKET RD
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City | NAPERVILLE
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State | IL
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Zip | 60565-3106
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Country | US
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Telephone | 630-935-1638
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 180.007864
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 180.007864
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License Number State | IL
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