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General NPI Number Information
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NPI Number | 1346241601
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Entity Type | Individual
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Provider Name | JENEE LEE BOWMAN MD
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Gender | Female
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 05/06/2021
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Provider Practice Location Address
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Address Line | 1041 NOELL LN SUITE 105
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-2058
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Country | US
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Telephone | 252-451-2700
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Fax | 252-451-7939
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Provider Business Mailing Address
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Address Line | 2000 PERIMETER PARK DR STE 200
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City | MORRISVILLE
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State | NC
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Zip | 27560-8442
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Country | US
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Telephone | 984-215-4110
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 20020152
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 200201052
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License Number State | NC
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