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General NPI Number Information
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NPI Number | 1255398004
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Entity Type | Individual
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Provider Name | C BRYCE BOWLING MD
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Gender | Male
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1930 ALCOA HWY STE 235
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City | KNOXVILLE
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State | TN
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Zip | 37920-1510
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Country | US
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Telephone | 865-305-5940
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Fax | 865-305-5941
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Provider Business Mailing Address
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Address Line | PO BOX 440439
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City | NASHVILLE
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State | TN
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Zip | 37244-0439
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Country | US
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Telephone | 865-670-6199
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Fax | 865-670-6198
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 38971
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | 38971
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License Number State | TN
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