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General NPI Number Information
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NPI Number | 1750299814
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Entity Type | Individual
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Provider Name | LAUREN BOWMAN CST
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Gender | Female
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 08/31/2026
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Provider Practice Location Address
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Address Line | 80 HUMPHREYS CENTER DR STE 100
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City | MEMPHIS
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State | TN
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Zip | 38120-2352
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Country | US
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Telephone | 901-761-9030
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Fax | 901-761-9591
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Provider Business Mailing Address
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Address Line | 752 JEFFRIES RD
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City | POTTS CAMP
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State | MS
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Zip | 38659-9110
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Country | US
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Telephone | 901-761-9030
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Fax | 901-761-9591
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 100283797
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License Number State | TN
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