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General NPI Number Information
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NPI Number | 1649458829
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Entity Type | Individual
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Provider Name | ANDREW JOSEPH BOWMAN NP
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Gender | Male
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Dates
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Enumeration Date | 02/10/2008
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Last Update Date | 02/12/2010
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Provider Practice Location Address
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Address Line | 2605 N LEBANON ST
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City | LEBANON
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State | IN
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Zip | 46052-1476
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Country | US
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Telephone | 765-485-8500
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Fax | 765-485-8509
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Provider Business Mailing Address
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Address Line | 1800 BEECHWOOD DR
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City | LAFAYETTE
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State | IN
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Zip | 47905-4159
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Country | US
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Telephone | 765-448-6509
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 71002461A
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License Number State | IN
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