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General NPI Number Information
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NPI Number | 1043324197
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Entity Type | Organization
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Legal Business Name | DR L E BOWERS P C
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 07/28/2008
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Provider Practice Location Address
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Address Line | 13982 MERRIMAN RD
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City | LIVONIA
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State | MI
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Zip | 48154-4259
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Country | US
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Telephone | 734-425-5454
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Fax | 734-425-8779
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Provider Business Mailing Address
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Address Line | 13982 MERRIMAN RD
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City | LIVONIA
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State | MI
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Zip | 48154-4259
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Country | US
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Telephone | 734-425-5454
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Fax | 734-425-8779
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Authorized Official
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Title or Position | OWNER
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Name | DR. LESLIE EARL BOWERS
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Credential | DC
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Telephone | 734-425-5454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DB004839
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | LB002142
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License Number State | MI
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