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General NPI Number Information
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NPI Number | 1376953943
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Entity Type | Individual
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Provider Name | SHARON ANN BOWEN
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Gender | Female
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Dates
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Enumeration Date | 05/05/2014
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Last Update Date | 05/05/2014
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Provider Practice Location Address
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Address Line | 920 N 8TH ST
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City | HOLLIS
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State | OK
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Zip | 73550-2026
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Country | US
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Telephone | 580-688-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 920 N 8TH ST PO BOX 431
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City | HOLLIS
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State | OK
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Zip | 73550-2026
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Country | US
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Telephone | 580-688-2200
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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 | 364SF0001X
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Taxonomy Name | Family Health Clinical Nurse Specialist
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License Number | 112526
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License Number State | OK
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