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General NPI Number Information
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NPI Number | 1376673509
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Entity Type | Individual
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Provider Name | REBECCA BOWERS RFNP
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Gender | Female
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 05/05/2014
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Provider Practice Location Address
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Address Line | 668 N. 44TH ST, STE 300
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City | PHOENIX
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State | AZ
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Zip | 85008
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Country | US
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Telephone | 877-329-8081
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Fax |
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Provider Business Mailing Address
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Address Line | 1432 E NORTHSHORE DR
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City | TEMPE
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State | AZ
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Zip | 85283-2164
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Country | US
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Telephone | 480-209-0398
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | RN045582
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | RN045582
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License Number State | AZ
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