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General NPI Number Information
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NPI Number | 1174648067
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Entity Type | Individual
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Provider Name | JOHN CARL BOWMAN D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3501 S SONCY RD SUITE 2
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City | AMARILLO
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State | TX
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Zip | 79119-6407
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Country | US
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Telephone | 806-351-2708
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Fax | 806-351-2349
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Provider Business Mailing Address
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Address Line | 10781 TRUMAN ST
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City | AMARILLO
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State | TX
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Zip | 79118-5336
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Country | US
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Telephone | 806-220-5851
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 10382
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License Number State | TX
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