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General NPI Number Information
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NPI Number | 1114394988
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Entity Type | Individual
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Provider Name | SHIRLANE A BOWEN APN
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Gender | Female
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Dates
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Enumeration Date | 08/28/2015
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Last Update Date | 08/28/2023
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Provider Practice Location Address
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Address Line | 2703 US HIGHWAY 130 STE 100
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902-4721
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Country | US
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Telephone | 732-934-4892
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Fax | 732-838-1905
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Provider Business Mailing Address
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Address Line | 3 CROMWELL CT
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City | EWING
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State | NJ
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Zip | 08628-2223
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Country | US
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Telephone | 609-638-0836
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ00522800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 26NJ00522800
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License Number State | NJ
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