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General NPI Number Information
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NPI Number | 1508966573
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Entity Type | Individual
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Provider Name | LEO CLAYTON BOWERS MD
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Gender | Male
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 26 WINE ST
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City | HAMPTON
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State | VA
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Zip | 23669-3584
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Country | US
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Telephone | 757-728-1100
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Fax | 757-728-0870
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Provider Business Mailing Address
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Address Line | 26 WINE ST
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City | HAMPTON
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State | VA
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Zip | 23669-3584
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Country | US
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Telephone | 757-728-1100
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Fax | 757-728-0870
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 0101033148
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101033148
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License Number State | VA
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