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General NPI Number Information
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NPI Number | 1487264776
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Entity Type | Individual
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Provider Name | ANNA BOWERS DDS
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Gender | Female
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Dates
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Enumeration Date | 08/03/2020
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Last Update Date | 02/09/2024
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Provider Practice Location Address
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Address Line | 420 CAMBRIDGE AVE STE 5
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City | PALO ALTO
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State | CA
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Zip | 94306-1594
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Country | US
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Telephone | 650-328-3636
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Fax |
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Provider Business Mailing Address
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Address Line | 20 N ELLSWORTH AVE APT 311
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City | SAN MATEO
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State | CA
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Zip | 94401-3196
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Country | US
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Telephone | 502-386-1076
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 105030
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License Number State | CA
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