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General NPI Number Information
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NPI Number | 1144248782
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Entity Type | Individual
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Provider Name | WILLIAM R BOWERS MD
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 719 COOK DR SUITE 102
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City | ATHENS
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State | TN
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Zip | 37303-3495
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Country | US
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Telephone | 423-745-1277
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Fax | 423-745-2188
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Provider Business Mailing Address
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Address Line | PO BOX 906
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City | ATHENS
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State | TN
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Zip | 37371-0906
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Country | US
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Telephone | 423-745-1277
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Fax | 423-745-2188
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD0000009158
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License Number State | TN
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