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General NPI Number Information
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NPI Number | 1740460294
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Entity Type | Organization
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Legal Business Name | THOMAS B BOWEN, DMD, PA
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 11/13/2007
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Provider Practice Location Address
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Address Line | 5 DOCTORS PARK STE D
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City | ASHEVILLE
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State | NC
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Zip | 28801-4520
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Country | US
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Telephone | 828-252-2311
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Fax |
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Provider Business Mailing Address
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Address Line | 5 DOCTORS PARK STE D
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City | ASHEVILLE
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State | NC
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Zip | 28801-4520
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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 | PRESIDENT
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Name | THOMAS BOWEN
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Credential |
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Telephone | 828-252-2311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7530
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License Number State | NC
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