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NPI 1013806082

NPI 1013806082 : BOWEN HEALTH INC : WARSAW, IN

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General NPI Number Information
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    NPI Number           |    1013806082
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    Entity Type          |    Organization 
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    Legal Business Name  |    BOWEN HEALTH INC 
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Dates
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    Enumeration Date     |    07/02/2025
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    Last Update Date     |    10/29/2025
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Provider Practice Location Address
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    Address Line         |    850 N HARRISON ST 
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    City                 |    WARSAW
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    State                |    IN
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    Zip                  |    46580-3163
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    Country              |    US
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    Telephone            |    574-385-3146
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    Fax                  |    866-251-8293
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Provider Business Mailing Address
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    Address Line         |    PO BOX 497 
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    City                 |    WARSAW
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    State                |    IN
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    Zip                  |    46581-0497
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    Country              |    US
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    Telephone            |    800-342-5653
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    Fax                  |    800-342-5653
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Authorized Official
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    Title or Position    |    VICE PRESIDENT OF FINANCE
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    Name                 |     MELISSA  KNECHT 
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    Credential           |    
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    Telephone            |    574-269-0532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    1223D0001X
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    Taxonomy Name        |    Public Health Dentistry
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QF0400X
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    Taxonomy Name        |    Federally Qualified Health Center (FQHC)
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    License Number       |    
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    License Number State |    
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