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General NPI Number Information
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NPI Number | 1841585965
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Entity Type | Individual
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Provider Name | SARAH ELIZABETH BOWEN D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 06/16/2011
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Last Update Date | 07/13/2020
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Provider Practice Location Address
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Address Line | 2017 N GREEN ACRES RD
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-2619
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Country | US
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Telephone | 479-332-3121
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Fax |
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Provider Business Mailing Address
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Address Line | 4279 W WATER LILLY CT
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City | FAYETTEVILLE
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State | AR
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Zip | 72704-6380
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Country | US
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Telephone | 901-361-4895
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3830
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License Number State | AR
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