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General NPI Number Information
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NPI Number | 1801492830
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Entity Type | Individual
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Provider Name | HEATHER BOWERS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/06/2020
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Last Update Date | 03/24/2023
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Provider Practice Location Address
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Address Line | 105 HUGH RULE DR
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City | ROCKFORD
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State | TN
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Zip | 37853-3037
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Country | US
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Telephone | 540-958-4398
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Fax |
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Provider Business Mailing Address
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Address Line | 105 HUGH RULE DR
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City | ROCKFORD
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State | TN
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Zip | 37853-3037
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Country | US
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Telephone | 540-958-4398
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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 | NP500002211
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License Number State | DC
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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 | 0024183700
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 28640
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License Number State | TN
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