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General NPI Number Information
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NPI Number | 1366964256
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Entity Type | Individual
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Provider Name | MICHAEL BOWDY ATC
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Gender | Male
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Dates
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Enumeration Date | 07/12/2017
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 2900 S DANVILLE BYP STE 110
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City | DANVILLE
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State | KY
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Zip | 40422-2464
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Country | US
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Telephone | 859-236-7012
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Fax | 859-236-7407
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Provider Business Mailing Address
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Address Line | 2900 S DANVILLE BYP STE 110
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City | DANVILLE
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State | KY
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Zip | 40422-2464
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Country | US
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Telephone | 859-236-7012
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Fax | 859-236-7407
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 30338
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 9269
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License Number State | KY
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