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NPI 1578219655

NPI 1578219655 : JENNIFER ANN BOWDEN PHD, RDN : LEHI, UT

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General NPI Number Information
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    NPI Number           |    1578219655
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    Entity Type          |    Individual 
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    Provider Name        |    JENNIFER ANN BOWDEN PHD, RDN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/26/2022
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    Last Update Date     |    01/15/2026
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Provider Practice Location Address
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    Address Line         |    3000 N TRIUMPH BLVD STE 330 
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    City                 |    LEHI
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    State                |    UT
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    Zip                  |    84043-7188
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    Country              |    US
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    Telephone            |    385-345-3560
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    Fax                  |    877-331-0467
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Provider Business Mailing Address
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    Address Line         |    3000 N TRIUMPH BLVD STE 330 
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    City                 |    LEHI
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    State                |    UT
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    Zip                  |    84043-7188
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    Country              |    US
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    Telephone            |    385-345-3560
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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        |    133V00000X
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    Taxonomy Name        |    Registered Dietitian
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    License Number       |    355937-4901
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    License Number State |    UT
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