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NPI 1548436884

NPI 1548436884 : STEVEN RICHARD BOWERS D.O. : FOGELSVILLE, PA

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General NPI Number Information
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    NPI Number           |    1548436884
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    Entity Type          |    Individual 
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    Provider Name        |    STEVEN RICHARD BOWERS D.O.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/06/2008
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    Last Update Date     |    01/22/2024
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Provider Practice Location Address
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    Address Line         |    1431 NURSERY ST STE 101B 
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    City                 |    FOGELSVILLE
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    State                |    PA
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    Zip                  |    18051-1612
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    Country              |    US
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    Telephone            |    610-336-8260
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    701 OSTRUM ST SUITE 202
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    City                 |    FOUNTAIN HILL
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    State                |    PA
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    Zip                  |    18015-1155
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    Country              |    US
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    Telephone            |    484-526-2200
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    Fax                  |    484-526-2398
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    OT012039
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    License Number State |    PA
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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       |    OS015481
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    License Number State |    NJ
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Taxonomy #3
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    Taxonomy Code        |    2083P0011X
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    Taxonomy Name        |    Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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    License Number       |    OS015481
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    License Number State |    PA
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Taxonomy #4
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    C7-0004010
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    License Number State |    DE
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Taxonomy #5
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    OS015481
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    License Number State |    PA
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