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General NPI Number Information
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NPI Number | 1083658132
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Entity Type | Individual
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Provider Name | TIMOTHY ERIC BOWEN MD
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Gender | Male
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 555 W 6TH ST
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-3409
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Country | US
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Telephone | 870-425-8288
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Fax | 870-425-8299
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Provider Business Mailing Address
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Address Line | 130 MEDICAL PARK PL
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City | HOT SPRINGS
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State | AR
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Zip | 71901-8051
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Country | US
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Telephone | 501-625-3400
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Fax | 501-625-3402
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | C8229
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | C8229
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License Number State | AR
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