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General NPI Number Information
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NPI Number | 1770065807
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Entity Type | Individual
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Provider Name | CHRISTINE ELIZABETH BOWLER FNP
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Gender | Female
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Dates
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Enumeration Date | 09/05/2018
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Last Update Date | 09/05/2018
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Provider Practice Location Address
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Address Line | 280 UNION ST
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City | LYNN
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State | MA
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Zip | 01901-1353
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Country | US
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Telephone | 781-715-5806
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Fax |
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Provider Business Mailing Address
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Address Line | 95 GAINSBOROUGH ST APT 406
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City | BOSTON
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State | MA
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Zip | 02115-4235
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Country | US
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Telephone | 781-738-3281
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN2293146
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License Number State | MA
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