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General NPI Number Information
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NPI Number | 1144533951
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Entity Type | Individual
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Provider Name | BILLIE-JO MICHELLE BOWERS PHARM D.
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Gender | Female
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Dates
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Enumeration Date | 07/21/2010
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Last Update Date | 07/21/2010
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Provider Practice Location Address
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Address Line | 675 WOODBURY GLASSBORO RD
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City | SEWELL
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State | NJ
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Zip | 08080-3733
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Country | US
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Telephone | 856-415-2381
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Fax |
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Provider Business Mailing Address
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Address Line | 53 FAWN HOLLOW LN
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City | MULLICA HILL
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State | NJ
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Zip | 08062-2823
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Country | US
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Telephone | 856-207-9147
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI02838600
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License Number State | NJ
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