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General NPI Number Information
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NPI Number | 1588449102
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Entity Type | Individual
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Provider Name | CHRISTOPHER BOWMAN
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Gender | Male
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Dates
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Enumeration Date | 08/30/2023
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | 50 JOACHIM DR
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City | GULF BREEZE
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State | FL
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Zip | 32561-4474
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Country | US
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Telephone | 850-299-0658
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Fax |
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Provider Business Mailing Address
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Address Line | 9890 N LOOP RD APT 534
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City | PENSACOLA
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State | FL
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Zip | 32507-7223
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Country | US
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Telephone | 218-232-8841
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | A2511
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License Number State | MN
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