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General NPI Number Information
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NPI Number | 1174163711
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Entity Type | Organization
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Legal Business Name | J PATRICK BOWMAN DMD PLLC
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Dates
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Enumeration Date | 01/12/2020
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Last Update Date | 01/12/2020
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Provider Practice Location Address
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Address Line | 1280 S PEARL ST
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City | DENVER
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State | CO
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Zip | 80210-1538
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Country | US
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Telephone | 720-647-6310
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Fax |
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Provider Business Mailing Address
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Address Line | 644 N GILPIN ST
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City | DENVER
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State | CO
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Zip | 80218-3632
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Country | US
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Telephone | 617-869-9825
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | J PATRICK BOWMAN
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Credential | DMD
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Telephone | 617-869-9825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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