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General NPI Number Information
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NPI Number | 1649612268
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Entity Type | Individual
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Provider Name | JACQUELYN BOWMAN-GARRETT D.C.
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Gender | Female
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Dates
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Enumeration Date | 07/24/2013
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Last Update Date | 02/25/2020
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Provider Practice Location Address
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Address Line | 117 W HIGHLAND DR STE 101
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City | BOERNE
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State | TX
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Zip | 78006-2659
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Country | US
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Telephone | 830-431-4097
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Fax |
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Provider Business Mailing Address
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Address Line | 124 CHISHOLM DR
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City | BOERNE
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State | TX
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Zip | 78006-3558
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Country | US
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Telephone | 830-431-4097
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 12982
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License Number State | TX
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