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General NPI Number Information
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NPI Number | 1568320430
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Entity Type | Individual
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Provider Name | LAURN BOWER
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Gender | Female
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 2827 NORTHGATE BLVD
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City | FORT WAYNE
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State | IN
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Zip | 46835-2900
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Country | US
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Telephone | 260-492-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 221 W WHITLEY ST
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City | CHURUBUSCO
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State | IN
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Zip | 46723-1719
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Country | US
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Telephone | 260-999-3666
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 31008677A
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License Number State | IN
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