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General NPI Number Information
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NPI Number | 1386781649
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Entity Type | Individual
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Provider Name | JAMES FORREST BOWEN D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 08/22/2013
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Provider Practice Location Address
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Address Line | 1177 E HIGHWAY 90
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City | BONIFAY
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State | FL
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Zip | 32425-6012
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Country | US
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Telephone | 850-547-8573
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Fax |
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Provider Business Mailing Address
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Address Line | 1177 E HIGHWAY 90
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City | BONIFAY
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State | FL
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Zip | 32425-6012
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Country | US
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Telephone | 850-547-8573
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN13037
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License Number State | FL
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