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General NPI Number Information
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NPI Number | 1760302228
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Entity Type | Organization
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Legal Business Name | CLARA BOWRON LLC
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Dates
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Enumeration Date | 07/16/2026
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 705 BOSTON POST RD STE C6
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City | GUILFORD
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State | CT
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Zip | 06437-2744
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Country | US
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Telephone | 203-745-6267
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Fax |
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Provider Business Mailing Address
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Address Line | 120 CROOKED HILL RD
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City | GUILFORD
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State | CT
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Zip | 06437-3659
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Country | US
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Telephone | 203-745-6267
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Fax |
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Authorized Official
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Title or Position | OWNER, RENDERING PROVIDER
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Name | CLARA BOWRON
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Credential | MSN, APRN
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Telephone | 203-745-6267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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