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General NPI Number Information
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NPI Number | 1194270330
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Entity Type | Individual
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Provider Name | TAYLOR BOWEN PHARM. D.
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Gender | Female
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Dates
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Enumeration Date | 08/17/2016
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Last Update Date | 08/17/2016
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Provider Practice Location Address
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Address Line | 29 GREEN SPRINGS CIR
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City | COLUMBIA
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State | SC
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Zip | 29223-6940
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Country | US
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Telephone | 843-373-2127
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Fax |
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Provider Business Mailing Address
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Address Line | 120 FORUM DR
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City | COLUMBIA
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State | SC
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Zip | 29229-7951
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Country | US
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Telephone | 803-699-8332
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 68798
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License Number State | SC
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