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General NPI Number Information
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NPI Number | 1639172810
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Entity Type | Organization
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Legal Business Name | BOWEN HEALTH INC
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 850 N HARRISON ST
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City | WARSAW
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State | IN
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Zip | 46580-3163
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Country | US
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Telephone | 574-267-7169
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Fax | 574-269-3995
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Provider Business Mailing Address
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Address Line | 2621 E JEFFERSON ST
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City | WARSAW
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State | IN
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Zip | 46580-3880
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Country | US
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Telephone | 574-267-7169
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Fax | 574-269-3995
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Authorized Official
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Title or Position | SR VP FISCAL DIVISION
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Name | MR. JAY M BAUMGARTNER
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Credential |
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Telephone | 574-267-7169
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 4230CMHC
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 4231PIP
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 4230CMHC
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License Number State | IN
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