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General NPI Number Information
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NPI Number | 1013702703
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Entity Type | Individual
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Provider Name | JONATHAN BOWMAN MD
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Gender | Male
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Dates
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Enumeration Date | 04/12/2025
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Last Update Date | 04/12/2025
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Provider Practice Location Address
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Address Line | 106 PARK DR
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City | HOT SPRINGS
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State | VA
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Zip | 24445-2921
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Country | US
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Telephone | 540-849-5496
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Fax |
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Provider Business Mailing Address
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Address Line | 4799 STATE PARK RD
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City | TRAVELERS REST
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State | SC
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Zip | 29690-8449
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Country | US
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Telephone | 864-533-5502
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 0101281045
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License Number State | VA
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