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General NPI Number Information
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NPI Number | 1003329020
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Entity Type | Individual
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Provider Name | MARCELLA BOWEN PMHNP
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Gender | Female
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Dates
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Enumeration Date | 11/13/2017
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Last Update Date | 06/19/2023
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Provider Practice Location Address
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Address Line | 809 KENT PL
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City | CHESAPEAKE
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State | VA
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Zip | 23320-0768
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Country | US
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Telephone | 757-426-0605
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Fax |
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Provider Business Mailing Address
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Address Line | 1545 CROSSWAYS BLVD STE 250
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City | CHESAPEAKE
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State | VA
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Zip | 23320-0218
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Country | US
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Telephone | 757-541-8390
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Fax | 484-328-6552
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024175576
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License Number State | VA
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