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NPI 1417834060

NPI 1417834060 : PARKER BOWEN DC PLLC : WYOMING, MI

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General NPI Number Information
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    NPI Number           |    1417834060
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    Entity Type          |    Organization 
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    Legal Business Name  |    PARKER BOWEN DC PLLC 
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Dates
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    Enumeration Date     |    08/18/2025
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    Last Update Date     |    08/18/2025
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Provider Practice Location Address
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    Address Line         |    4415 BYRON CENTER AVE SW 
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    City                 |    WYOMING
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    State                |    MI
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    Zip                  |    49519-4800
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    Country              |    US
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    Telephone            |    616-534-2944
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4415 BYRON CENTER AVE SW 
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    City                 |    WYOMING
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    State                |    MI
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    Zip                  |    49519-4800
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     PARKER  BOWEN 
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    Credential           |    
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    Telephone            |    269-832-9243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    
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    License Number State |    
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