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General NPI Number Information
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NPI Number | 1568641538
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Entity Type | Organization
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Legal Business Name | J KENNETH BOWMAN DC INC PC
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Dates
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Enumeration Date | 10/26/2007
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 311 MAPLE AVE W SUITE F
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City | VIENNA
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State | VA
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Zip | 22180-4309
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Country | US
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Telephone | 703-281-2844
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Fax | 703-281-4967
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Provider Business Mailing Address
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Address Line | SUITE F 311 MAPLE AVE WEST
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City | VIENNA
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State | VA
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Zip | 22180-4309
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Country | US
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Telephone | 703-281-2844
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Fax | 703-281-4967
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN KENNETH BOWMAN
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Credential | DC
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Telephone | 703-281-2844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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