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General NPI Number Information
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NPI Number | 1811866684
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Entity Type | Individual
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Provider Name | JENNA BOWLING
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Gender | Female
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Dates
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Enumeration Date | 10/31/2025
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 300 MORRISON DR
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City | PRINCETON
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State | WV
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Zip | 24740-2765
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Country | US
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Telephone | 304-487-0015
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Fax | 304-487-0005
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Provider Business Mailing Address
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Address Line | 605 QUAIL DR
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City | BLUEFIELD
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State | VA
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Zip | 24605-9411
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Country | US
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Telephone | 304-960-0091
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0014814
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License Number State | WV
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