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General NPI Number Information
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NPI Number | 1659695443
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Entity Type | Individual
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Provider Name | BONNIE MCGOWAN NP
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Gender | Female
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Dates
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Enumeration Date | 03/23/2010
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Last Update Date | 03/23/2010
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Provider Practice Location Address
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Address Line | 3687 VETERANS DR PATIENT CARE SERVICES/ NURSING (118)
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City | FORT HARRISON
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State | MT
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Zip | 59636-9703
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Country | US
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Telephone | 406-447-7019
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Fax | 406-447-7968
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Provider Business Mailing Address
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Address Line | 1021 REDPOLL LOOP
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City | HELENA
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State | MT
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Zip | 59602-0545
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Country | US
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Telephone | 805-680-0003
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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 | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number | 665787
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License Number State | CA
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