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General NPI Number Information
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NPI Number | 1053665810
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Entity Type | Individual
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Provider Name | ROBIN BOWMAN ATC
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Gender | Female
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Dates
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Enumeration Date | 11/01/2012
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Last Update Date | 02/03/2015
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Provider Practice Location Address
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Address Line | 841 N. 14TH ST. 55 CAMPUS RECREATION CENTER
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City | LINCOLN
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State | NE
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Zip | 68588-0232
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Country | US
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Telephone | 402-472-4769
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Fax | 402-472-8080
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Provider Business Mailing Address
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Address Line | 841 N. 14TH ST. 55 CAMPUS RECREATION CENTER
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City | LINCOLN
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State | NE
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Zip | 68588-0232
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Country | US
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Telephone | 402-472-4769
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Fax | 402-472-8080
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 244
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License Number State | NE
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