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General NPI Number Information
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NPI Number | 1578489563
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Entity Type | Individual
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Provider Name | MATTHEW BOWLER
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Gender | Male
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Dates
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Enumeration Date | 06/25/2026
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Last Update Date | 06/25/2026
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Provider Practice Location Address
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Address Line | 140 NUTT RD
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-3906
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Country | US
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Telephone | 267-825-4422
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Fax |
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Provider Business Mailing Address
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Address Line | 3462 TILDEN ST
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City | PHILADELPHIA
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State | PA
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Zip | 19129-1435
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Country | US
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Telephone |
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | SC007672
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License Number State | PA
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