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General NPI Number Information
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NPI Number | 1174970636
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Entity Type | Individual
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Provider Name | RADHIKA SHUKLA BOWES DO
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Gender | Female
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Dates
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Enumeration Date | 05/15/2016
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Last Update Date | 12/02/2020
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Provider Practice Location Address
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Address Line | 10401 W THUNDERBIRD BLVD
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City | SUN CITY
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State | AZ
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Zip | 85351-3004
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Country | US
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Telephone | 623-832-4728
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Fax |
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Provider Business Mailing Address
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Address Line | 6800 E MAYO BLVD APT 5308
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City | PHOENIX
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State | AZ
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Zip | 85054-5636
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Country | US
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Telephone | 512-228-2456
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS13983
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | OS13983
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License Number State | FL
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