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General NPI Number Information
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NPI Number | 1770619850
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Entity Type | Individual
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Provider Name | JOHN FRANCIS BOWLEY DDS
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Gender | Male
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 06/09/2022
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Provider Practice Location Address
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Address Line | NEW YORK UNIVERSITY, COLLEGE OF DENTISTRY CLINIC 4-W 345 EAST 24TH STREET, ADVANCED EDUCATION PROSTHODONTICS
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City | NEW YORK
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State | NY
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Zip | 10010
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Country | US
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Telephone | 617-669-2782
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Fax |
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Provider Business Mailing Address
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Address Line | 345 E 24TH ST CLINIC # 4-W
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City | NEW YORK
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State | NY
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Zip | 10010-4020
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Country | US
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Telephone | 617-669-2782
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 062353-01
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License Number State | NY
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