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General NPI Number Information
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NPI Number | 1144633835
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Entity Type | Individual
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Provider Name | TAMATHA S BOWES D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/10/2014
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Last Update Date | 11/05/2014
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Provider Practice Location Address
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Address Line | 3131 COLLEGE HEIGHTS BLVD SUITE #2500
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City | ALLENTOWN
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State | PA
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Zip | 18104-4812
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Country | US
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Telephone | 610-435-4838
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Fax |
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Provider Business Mailing Address
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Address Line | 8220 ARDLEIGH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19118-3414
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Country | US
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Telephone | 610-704-5758
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS039985
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License Number State | PA
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