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General NPI Number Information
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NPI Number | 1326013350
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Entity Type | Individual
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Provider Name | CHARITY MUTHONI FINUCANE BOWCHER MD
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Gender | Female
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Dates
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Enumeration Date | 02/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1688 W GRANADA BLVD #2B
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City | ORMOND BEACH
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State | FL
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Zip | 32174
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Country | US
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Telephone | 386-677-3530
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Fax | 386-673-1933
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Provider Business Mailing Address
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Address Line | 4138 BROOKMYRA DRIVE
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City | ORLANDO
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State | FL
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Zip | 32837
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Country | US
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Telephone | 386-679-1114
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Fax | 407-826-4136
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 65822
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME65822
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License Number State | FL
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