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General NPI Number Information
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NPI Number | 1316134000
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Entity Type | Individual
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Provider Name | NICHOLAS STEVEN BOWER D.O.
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Gender | Male
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Dates
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Enumeration Date | 09/27/2007
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 1730 MERRITT BLVD
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City | DUNDALK
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State | MD
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Zip | 21222-3212
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Country | US
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Telephone | 410-650-4730
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Fax |
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Provider Business Mailing Address
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Address Line | 900 ELKRIDGE LANDING RD FL 2
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City | LINTHICUM
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State | MD
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Zip | 21090-2924
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Country | US
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Telephone | 443-462-5010
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS014157
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | H76207
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License Number State | MD
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