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NPI 1780829929

NPI 1780829929 : FELICITAS E BOWIE CRNP : COATESVILLE, PA

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General NPI Number Information
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    NPI Number           |    1780829929
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    Entity Type          |    Individual 
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    Provider Name        |    FELICITAS E BOWIE CRNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/02/2008
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    Last Update Date     |    08/22/2019
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Provider Practice Location Address
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    Address Line         |    219 REECEVILLE RD # 2 
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    City                 |    COATESVILLE
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    State                |    PA
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    Zip                  |    19320-1546
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    Country              |    US
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    Telephone            |    610-383-8470
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    Fax                  |    610-383-8295
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Provider Business Mailing Address
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    Address Line         |    PO BOX 13579 
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    City                 |    READING
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    State                |    PA
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    Zip                  |    19612-3579
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    Country              |    US
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    Telephone            |    
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    SP010062
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    SP010062
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    License Number State |    PA
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