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General NPI Number Information
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NPI Number | 1467895516
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Entity Type | Organization
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Legal Business Name | MARC XAVIER BOWEN, PHYSICIAN P.C.
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Dates
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Enumeration Date | 04/08/2013
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Last Update Date | 01/19/2024
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Provider Practice Location Address
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Address Line | 209 W 19TH ST
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City | NEW YORK
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State | NY
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Zip | 10011-4001
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Country | US
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Telephone | 212-480-4062
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Fax | 646-582-1434
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Provider Business Mailing Address
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Address Line | 209 W 19TH ST
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City | NEW YORK
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State | NY
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Zip | 10011-4001
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Country | US
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Telephone | 212-480-4062
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Fax | 646-582-1434
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. MARC BOWEN
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Credential | M.D.
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Telephone | 212-480-7010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 197205
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 197205
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number | 197205
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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