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General NPI Number Information
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NPI Number | 1164892782
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Entity Type | Individual
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Provider Name | RYAN KENDLE BOWLER DVM
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Gender | Male
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Dates
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Enumeration Date | 09/25/2015
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Last Update Date | 11/25/2015
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Provider Practice Location Address
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Address Line | 1067 E TABERNACLE ST
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City | ST GEORGE
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State | UT
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Zip | 84770-3163
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Country | US
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Telephone | 435-673-3191
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Fax | 435-627-8690
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Provider Business Mailing Address
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Address Line | 1735 W 540 N APT 205
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City | ST GEORGE
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State | UT
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Zip | 84770-1620
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Country | US
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Telephone | 435-619-6245
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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 | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 2264
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 9053222-2801
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License Number State | UT
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