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General NPI Number Information
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NPI Number | 1427415959
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Entity Type | Individual
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Provider Name | JESSICA MICHAEL BOWERS NP
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Gender | Female
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Dates
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Enumeration Date | 01/28/2016
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Last Update Date | 01/28/2016
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Provider Practice Location Address
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Address Line | 1821 CLIFTON RD NE
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City | ATLANTA
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State | GA
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Zip | 30329-4021
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Country | US
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Telephone | 404-728-6442
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Fax |
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Provider Business Mailing Address
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Address Line | 957 BROOKMERE CT
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City | ATLANTA
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State | GA
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Zip | 30349-6865
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Country | US
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Telephone | 865-824-7071
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN193962
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License Number State | GA
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