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General NPI Number Information
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NPI Number | 1487840013
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Entity Type | Organization
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Legal Business Name | EDWARD B. BOWER, MD, PA
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 10/15/2009
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Provider Practice Location Address
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Address Line | 900 E SUNSET DR A
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City | MONROE
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State | NC
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Zip | 28112-5893
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Country | US
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Telephone | 704-289-2561
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Fax | 704-289-5148
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Provider Business Mailing Address
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Address Line | 900 E SUNSET DR A
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City | MONROE
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State | NC
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Zip | 28112-5893
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Country | US
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Telephone | 704-289-2561
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Fax | 704-289-5148
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. EDWARD B BOWER
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Credential | M.D.
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Telephone | 704-289-2561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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