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General NPI Number Information
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NPI Number | 1538482906
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Entity Type | Organization
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Legal Business Name | BARBARA BOWERS, MD, PLLC
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Dates
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Enumeration Date | 03/12/2010
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Last Update Date | 11/11/2021
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Provider Practice Location Address
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Address Line | 1130 LONE OAK RD
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City | PADUCAH
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State | KY
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Zip | 42003-4525
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Country | US
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Telephone | 270-415-0245
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Fax |
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Provider Business Mailing Address
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Address Line | 1130 LONE OAK RD
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City | PADUCAH
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State | KY
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Zip | 42003-4525
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Country | US
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Telephone | 270-415-0245
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. PETER WEBSTER
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Credential |
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Telephone | 270-415-0245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | KY 29828
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License Number State | KY
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