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General NPI Number Information
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NPI Number | 1184052227
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Entity Type | Organization
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Legal Business Name | BOWEN GROUP FOUNDATION
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Dates
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Enumeration Date | 10/29/2013
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Last Update Date | 10/29/2013
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Provider Practice Location Address
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Address Line | 1890 NORTHWEST BLVD SUITE 140
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City | COLUMBUS
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State | OH
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Zip | 43212-1637
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Country | US
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Telephone | 614-899-0075
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Fax | 614-899-0075
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Provider Business Mailing Address
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Address Line | 1157 WHITNEY LN
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City | WESTERVILLE
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State | OH
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Zip | 43081-3688
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Country | US
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Telephone | 614-899-0075
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Fax | 614-899-0075
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Authorized Official
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Title or Position | OWNER
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Name | DR. NIKOL V BOWEN
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Credential | PHD, PCC
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Telephone | 614-899-0075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | E0700105
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License Number State | OH
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