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General NPI Number Information
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NPI Number | 1114203932
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Entity Type | Individual
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Provider Name | AVRIL G. E BOWENS
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Gender | Female
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Dates
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Enumeration Date | 10/25/2011
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Last Update Date | 10/25/2011
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Provider Practice Location Address
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Address Line | 61 GRADY WIGGINS DR
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City | OTTO
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State | NC
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Zip | 28763-8114
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Country | US
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Telephone | 828-342-8128
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Fax | 828-349-0964
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Provider Business Mailing Address
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Address Line | 61 GRADY WIGGINS DR
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City | OTTO
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State | NC
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Zip | 28763-8114
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Country | US
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Telephone | 828-342-8128
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Fax | 828-349-0964
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | 78-49
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License Number State | WI
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