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General NPI Number Information
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NPI Number | 1649330762
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Entity Type | Individual
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Provider Name | TRACEY ANN BOWMAN MSN CNM ARNP
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Gender | Female
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 03/31/2016
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Provider Practice Location Address
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Address Line | 24 PENNACOOK ST
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City | MANCHESTER
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State | NH
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Zip | 03104-3554
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Country | US
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Telephone | 603-669-7321
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Fax | 603-621-0097
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Provider Business Mailing Address
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Address Line | 784 HERCULES DR STE 110
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City | COLCHESTER
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State | VT
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Zip | 05446-8049
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Country | US
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Telephone | 802-448-9719
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Fax | 802-660-9438
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 03257721
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 0325772301
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 101.0105155
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License Number State | VT
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