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General NPI Number Information
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NPI Number | 1245335736
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Entity Type | Individual
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Provider Name | MICHAEL R BOWEN MD
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Gender | Male
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 02/28/2016
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Provider Practice Location Address
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Address Line | 29 UNION ST
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City | WOLFEBORO
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State | NH
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Zip | 03896
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Country | US
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Telephone | 603-569-9681
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Fax | 603-569-9384
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Provider Business Mailing Address
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Address Line | PO BOX 878 29 UNION ST
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City | WOLFEBORO
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State | NH
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Zip | 03896
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Country | US
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Telephone | 603-569-9681
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Fax | 603-569-9384
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 35066824
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License Number State | OH
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