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General NPI Number Information
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NPI Number | 1679033054
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Entity Type | Individual
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Provider Name | STEPHEN BOWEN MD
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Gender | Male
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Dates
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Enumeration Date | 03/22/2019
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 6847 N CHESTNUT ST STE 105
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City | RAVENNA
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State | OH
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Zip | 44266-3929
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Country | US
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Telephone | 330-297-6030
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Fax | 330-297-4919
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Provider Business Mailing Address
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Address Line | 6847 N CHESTNUT ST STE 105
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City | RAVENNA
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State | OH
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Zip | 44266-3929
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Country | US
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Telephone | 330-297-6030
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Fax | 330-297-4919
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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 | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 35.154098
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 35.154098
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License Number State | OH
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