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General NPI Number Information
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NPI Number | 1235936204
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Entity Type | Individual
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Provider Name | CASANDRA LYNN BOWERS
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Gender | Female
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 4352 W SYLVANIA AVE STE B
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City | TOLEDO
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State | OH
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Zip | 43623-3441
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Country | US
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Telephone | 844-561-5433
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Fax |
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Provider Business Mailing Address
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Address Line | 30028 PRESCOTT ST
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City | ROMULUS
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State | MI
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Zip | 48174-9709
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Country | US
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Telephone | 734-626-6186
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.445313
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License Number State | OH
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