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General NPI Number Information
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NPI Number | 1841401247
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Entity Type | Individual
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Provider Name | THOMAS E. BOWMAN
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Gender | Male
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 12/13/2009
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Provider Practice Location Address
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Address Line | 145 NEWBURY ST
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City | PORTLAND
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State | ME
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Zip | 04101-4261
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Country | US
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Telephone | 207-775-0058
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Fax |
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Provider Business Mailing Address
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Address Line | 12 LOWER MAST LANDING RD
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City | FREEPORT
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State | ME
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Zip | 04032-6407
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Country | US
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Telephone | 207-865-1284
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 0004
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License Number State | ME
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