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General NPI Number Information
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NPI Number | 1689468936
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Entity Type | Individual
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Provider Name | MATTHEW JOHN BOWMAN DC
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Gender | Male
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 13000 N INTERSTATE 35 # 116
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City | AUSTIN
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State | TX
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Zip | 78753-1030
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Country | US
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Telephone | 512-543-1220
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Fax |
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Provider Business Mailing Address
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Address Line | 1131 HOLLOW CREEK DR APT 204
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City | AUSTIN
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State | TX
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Zip | 78704-1920
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Country | US
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Telephone | 727-396-4671
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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 | CH61580984
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | B02062
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 16267
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License Number State | TX
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