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General NPI Number Information
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NPI Number | 1750596276
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Entity Type | Individual
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Provider Name | DENNIS DOYLE BOWMAN D.D.S
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Gender | Male
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 276 KINGSBURY GRADE
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City | STATELINE
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State | NV
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Zip | 89449
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Country | US
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Telephone | 777-558-8402
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Fax | 775-588-7182
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Provider Business Mailing Address
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Address Line | PO BOX 4560
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City | STATELINE
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State | NV
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Zip | 89449-4560
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Country | US
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Telephone | 775-588-4021
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Fax | 775-588-7182
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 783
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License Number State | NV
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