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General NPI Number Information
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NPI Number | 1679466932
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Entity Type | Organization
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Legal Business Name | BOWTANA
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 12/13/2025
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Provider Practice Location Address
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Address Line | 4043 BECK AVE
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City | LOUISVILLE
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State | OH
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Zip | 44641-9402
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Country | US
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Telephone | 330-205-9336
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Fax |
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Provider Business Mailing Address
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Address Line | 4043 BECK AVE MAILBOX 2
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City | LOUISVILLE
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State | OH
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Zip | 44641-1936
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MS. KATHRYN ANN BOWMAN
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Credential | MA
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Telephone | 330-205-9336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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