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General NPI Number Information
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NPI Number | 1497996185
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Entity Type | Individual
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Provider Name | DAVID BOWEN AU.D
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Gender | Male
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Dates
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Enumeration Date | 03/10/2009
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Last Update Date | 03/10/2009
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Provider Practice Location Address
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Address Line | 420 BULLARD AVE STE 101
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City | CLOVIS
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State | CA
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Zip | 93612-1054
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Country | US
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Telephone | 559-299-3566
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Fax |
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Provider Business Mailing Address
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Address Line | 420 BULLARD AVE STE 101
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City | CLOVIS
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State | CA
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Zip | 93612-1054
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Country | US
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Telephone |
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AU2659
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License Number State | CA
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