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General NPI Number Information
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NPI Number | 1235101445
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Entity Type | Organization
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Legal Business Name | LAWRENCE P BOWEN MD INC
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 10/26/2007
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Provider Practice Location Address
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Address Line | 235 PLAIN ST SUITE 304
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City | PROVIDENCE
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State | RI
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Zip | 02905-3241
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Country | US
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Telephone | 401-331-4140
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Fax | 401-331-0410
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Provider Business Mailing Address
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Address Line | 235 PLAIN ST SUITE 304
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City | PROVIDENCE
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State | RI
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Zip | 02905-3241
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Country | US
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Telephone | 401-331-4140
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Fax | 401-331-0410
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Authorized Official
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Title or Position | PRESIDENT
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Name | LAWRENCE P BOWEN
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Credential | MD
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Telephone | 401-331-4140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2082S0099X
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Taxonomy Name | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
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License Number | RI5305
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number | RI5305
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | RI5305
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License Number State | RI
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Taxonomy #4
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | RI5305
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License Number State | RI
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