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General NPI Number Information
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NPI Number | 1447475256
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Entity Type | Organization
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Legal Business Name | BOWEN CHIROPRACTIC
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 12/04/2007
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Provider Practice Location Address
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Address Line | 11110 ARTESIA BLVD STE. G
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City | CERRITOS
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State | CA
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Zip | 90703-2546
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Country | US
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Telephone | 562-402-4848
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Fax | 562-402-0258
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Provider Business Mailing Address
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Address Line | 11110 ARTESIA BLVD STE. G
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City | CERRITOS
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State | CA
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Zip | 90703-2546
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Country | US
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Telephone | 562-402-4848
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Fax | 562-402-0258
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL JAMES BOWEN
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Credential | DC
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Telephone | 562-402-4848
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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 | DC15141
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License Number State | CA
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