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General NPI Number Information
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NPI Number | 1598039364
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Entity Type | Individual
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Provider Name | SARITA ELAINE BOWERS FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/26/2012
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Last Update Date | 09/27/2016
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Provider Practice Location Address
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Address Line | 261 BERKMORE PL SUITE 1A
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City | BERKELEY SPRINGS
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State | WV
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Zip | 25411-6247
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Country | US
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Telephone | 304-258-5790
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Fax | 304-258-3745
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Provider Business Mailing Address
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Address Line | 109 RAYLOC DR
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City | HANCOCK
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State | MD
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Zip | 21750-1518
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Country | US
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Telephone | 301-678-5187
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Fax | 301-678-5797
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 61469
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R162951
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License Number State | MD
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