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General NPI Number Information
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NPI Number | 1730213018
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Entity Type | Individual
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Provider Name | BRIAN SCOTT BOWEN L.AC,CMT
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Gender | Male
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 5191 S YOSEMITE ST SUITE B
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-3302
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Country | US
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Telephone | 303-577-9977
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Fax |
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Provider Business Mailing Address
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Address Line | 5191 S YOSEMITE ST SUITE B
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-3302
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Country | US
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Telephone | 303-577-9977
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 806
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License Number State | CO
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