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General NPI Number Information
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NPI Number | 1457219172
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Entity Type | Individual
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Provider Name | TY JASON BOWRING DPT
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Gender | Male
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 7217 TELECOM PKWY FL 2
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City | GARLAND
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State | TX
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Zip | 75044-2202
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Country | US
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Telephone | 972-495-6986
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Fax | 972-895-8576
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Provider Business Mailing Address
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Address Line | 650 LEORA LN APT 1533
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City | LEWISVILLE
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State | TX
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Zip | 75056-3973
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Country | US
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Telephone | 469-632-7282
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State | TX
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