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General NPI Number Information
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NPI Number | 1700187200
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Entity Type | Individual
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Provider Name | ELLEN K BOWSER MS,RD,LD/N,RN
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Gender | Female
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Dates
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Enumeration Date | 11/15/2010
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Last Update Date | 12/06/2025
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Provider Practice Location Address
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Address Line | PEDIATRIC PULMONARY DIVISION BOX 100296
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City | GAINESVILLE
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State | FL
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Zip | 32610-0296
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Country | US
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Telephone | 352-273-8380
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 100296
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City | GAINESVILLE
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State | FL
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Zip | 32610-0296
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Country | US
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Telephone | 352-273-8380
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | ND1982
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN1370312
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License Number State | FL
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