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NPI 1417273335

NPI 1417273335 : HOWARD B BOWE RPH : CORAM, NY

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General NPI Number Information
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    NPI Number           |    1417273335
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    Entity Type          |    Individual 
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    Provider Name        |    HOWARD B BOWE RPH
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/16/2010
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    Last Update Date     |    11/03/2016
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Provider Practice Location Address
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    Address Line         |    3663 ROUTE 112 
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    City                 |    CORAM
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    State                |    NY
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    Zip                  |    11727-4130
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    Country              |    US
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    Telephone            |    631-698-7788
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    16 LOMBARDI PL 
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    City                 |    AMITYVILLE
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    State                |    NY
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    Zip                  |    11701-3016
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    Country              |    US
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    Telephone            |    631-532-5035
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    33727-1
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    1835N0905X
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    Taxonomy Name        |    Nuclear Pharmacist
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    License Number       |    33727-1
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    License Number State |    NY
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