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General NPI Number Information
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NPI Number | 1326717810
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Entity Type | Individual
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Provider Name | KARA BOWMAN RDH
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Gender | Female
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Dates
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Enumeration Date | 09/08/2021
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Last Update Date | 09/08/2021
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Provider Practice Location Address
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Address Line | 7837 ROLLING RD
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City | SPRINGFIELD
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State | VA
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Zip | 22153-2821
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Country | US
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Telephone | 856-230-9387
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Fax |
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Provider Business Mailing Address
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Address Line | 8555 BLACKFOOT CT
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City | LORTON
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State | VA
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Zip | 22079-3043
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Country | US
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Telephone | 856-230-9387
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 0402208354
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License Number State | VA
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