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General NPI Number Information
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NPI Number | 1336761162
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Entity Type | Individual
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Provider Name | BRETT BOWERS OD
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Gender | Male
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Dates
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Enumeration Date | 05/14/2020
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Last Update Date | 07/27/2021
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Provider Practice Location Address
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Address Line | 262 NEIL AVE STE 320
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City | COLUMBUS
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State | OH
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Zip | 43215-7311
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Country | US
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Telephone | 614-228-4500
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Fax | 614-221-0138
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Provider Business Mailing Address
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Address Line | PO BOX 45934
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City | BALTIMORE
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State | MD
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Zip | 21297-5934
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Country | US
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Telephone | 614-228-4500
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Fax | 614-384-2966
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT.006871
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License Number State | OH
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