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General NPI Number Information
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NPI Number | 1184931909
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Entity Type | Individual
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Provider Name | STEPHANIE SMITH BOWERS NP
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Gender | Female
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Dates
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Enumeration Date | 09/01/2010
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 100 CHALLENGER RD # 205
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City | RIDGEFIELD PARK
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State | NJ
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Zip | 07660-2108
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Country | US
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Telephone | 443-383-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 909 RIDGEBROOK RD STE 300
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City | SPARKS
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State | MD
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Zip | 21152-9477
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Country | US
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Telephone | 443-383-9300
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Fax | 855-866-8710
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ00632400
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License Number State | NJ
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