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General NPI Number Information
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NPI Number | 1700678224
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Entity Type | Individual
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Provider Name | MELISSA BOWER
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Gender | Female
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 1044 BELMONT AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44504-1006
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Country | US
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Telephone | 330-480-3444
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Fax |
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Provider Business Mailing Address
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Address Line | 3375 W 800 B
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City | MOSCA
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State | CO
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Zip | 81146-9814
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Country | US
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Telephone | 719-937-1047
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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