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General NPI Number Information
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NPI Number | 1346712445
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Entity Type | Individual
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Provider Name | SHANNON MCDOWELL BOWEN NP-C
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Gender | Female
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Dates
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Enumeration Date | 12/30/2018
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Last Update Date | 03/15/2025
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Provider Practice Location Address
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Address Line | 701 CASHUA FERRY RD
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City | DARLINGTON
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State | SC
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Zip | 29532-8488
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Country | US
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Telephone | 843-777-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 1616 DAMON DR
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City | FLORENCE
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State | SC
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Zip | 29505-3111
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Country | US
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Telephone | 843-439-6049
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 22492
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License Number State | SC
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