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General NPI Number Information
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NPI Number | 1437014602
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Entity Type | Individual
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Provider Name | MRS. JENELL DENENE BOWMAN
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Gender | Female
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 512 RIVERSIDE PKWY NE STE 300
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City | ROME
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State | GA
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Zip | 30161-2939
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Country | US
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Telephone | 706-291-9151
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Fax | 706-291-1447
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Provider Business Mailing Address
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Address Line | 509 BROOKLANE ST
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City | METROPOLIS
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State | IL
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Zip | 62960-1122
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Country | US
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Telephone | 706-291-9151
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Fax | 706-291-1447
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | RN220294
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License Number State | GA
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