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General NPI Number Information
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NPI Number | 1528484094
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Entity Type | Individual
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Provider Name | RASHINA JANAI BOWDEN PA-C, ATC
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Gender | Female
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Dates
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Enumeration Date | 03/08/2014
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 1801 S HIGHLAND AVE STE 220
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City | LOMBARD
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State | IL
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Zip | 60148-4932
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Country | US
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Telephone | 630-790-1872
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Fax | 630-873-8812
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Provider Business Mailing Address
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Address Line | PO BOX 713260
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City | CHICAGO
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State | IL
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Zip | 60677-1260
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Country | US
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Telephone | 630-469-9200
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 096002530
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 085.004994
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License Number State | IL
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