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General NPI Number Information
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NPI Number | 1760521140
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Entity Type | Organization
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Legal Business Name | BOWEN HEALTH, INC.
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 1535 PROVIDENT DR.
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City | WARSAW
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State | IN
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Zip | 46580
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Country | US
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Telephone | 574-267-7169
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Fax | 574-269-3995
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Provider Business Mailing Address
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Address Line | 850 N HARRISON ST
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City | WARSAW
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State | IN
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Zip | 46580-3163
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Country | US
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Telephone | 574-267-7169
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Fax | 574-269-3995
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Authorized Official
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Title or Position | VP FISCAL DIVISION
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Name | JAY M BAUMGARTNER
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Credential |
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Telephone | 574-267-7169
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 423-0-PIP
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License Number State | IN
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