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General NPI Number Information
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NPI Number | 1831631829
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Entity Type | Organization
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Legal Business Name | BOWDEN INJURY & REHABILITATION
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Dates
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Enumeration Date | 11/08/2016
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Last Update Date | 09/22/2017
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Provider Practice Location Address
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Address Line | 1215 POPLAR AVE
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City | MEMPHIS
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State | TN
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Zip | 38104-7241
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Country | US
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Telephone | 901-472-4190
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Fax | 901-443-0375
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Provider Business Mailing Address
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Address Line | 1417 MONROE AVE
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City | MEMPHIS
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State | TN
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Zip | 38104-3634
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Country | US
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Telephone | 901-272-7200
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Fax | 901-272-0820
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MRS. SEANDRIA E ECHOLS COBBINS
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Credential |
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Telephone | 901-272-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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