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General NPI Number Information
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NPI Number | 1639609720
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Entity Type | Individual
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Provider Name | KEVIN PAUL BOWLING NP-C
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Gender | Male
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Dates
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Enumeration Date | 06/13/2017
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Last Update Date | 03/31/2021
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Provider Practice Location Address
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Address Line | 1369A GEORGE WALLACE HWY
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City | RUSSELLVILLE
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State | AL
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Zip | 35654-3281
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Country | US
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Telephone | 256-333-4118
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Fax | 256-333-4031
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Provider Business Mailing Address
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Address Line | 1002 RICHTON AVE
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City | MUSCLE SHOALS
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State | AL
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Zip | 35661-3051
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-077022
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License Number State | AL
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