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General NPI Number Information
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NPI Number | 1205029055
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Entity Type | Individual
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Provider Name | NORMAN JAY BOWERMAN DOCTOR OF CHIROPRACT
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Gender | Male
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Dates
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Enumeration Date | 08/24/2007
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Last Update Date | 08/24/2007
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Provider Practice Location Address
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Address Line | 136 N 10TH ST
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City | SANTA PAULA
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State | CA
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Zip | 93060-2803
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Country | US
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Telephone | 805-525-2015
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Fax | 805-933-9866
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Provider Business Mailing Address
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Address Line | 136 NORTH 10TH STREET
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City | SANTA PAULA
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State | CA
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Zip | 93060-2803
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Country | US
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Telephone | 805-525-2015
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Fax | 805-933-9866
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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 | 10083
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License Number State | CA
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