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General NPI Number Information
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NPI Number | 1801124698
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Entity Type | Individual
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Provider Name | JEANINE GABRELE BOWEN CRNA
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Gender | Female
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Dates
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Enumeration Date | 12/07/2009
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Last Update Date | 01/31/2010
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Provider Practice Location Address
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Address Line | 368 OGDEN AVE
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City | JERSEY CITY
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State | NJ
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Zip | 07307-1115
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Country | US
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Telephone | 202-538-6088
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Fax |
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Provider Business Mailing Address
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Address Line | 368 OGDEN AVE
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City | JERSEY CITY
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State | NJ
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Zip | 07307-1115
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Country | US
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Telephone | 202-538-6088
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 4704223851
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 615771
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN582597
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN966608
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License Number State | DC
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R156163
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License Number State | MD
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Taxonomy #6
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 12.004275
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License Number State | CT
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