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NPI Code Detail

MEDICARE: ABIGAIL BOWER

MEDICARE: ABIGAIL BOWER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1912492604
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL BOWER
Provider Business Mailing Address
First Line : 23701 MILES RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44128-5473
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 23701 MILES RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44128-5473
Country : US
Telephone Number : 216-763-0800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2018
Last Update Date : 06/26/2018

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Directions to “ ABIGAIL BOWER ” Practice Location

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