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General NPI Number Information
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NPI Number | 1841638525
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Entity Type | Individual
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Provider Name | NATHAN DANIEL BOWEN DMD
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Gender | Male
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Dates
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Enumeration Date | 06/04/2013
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Last Update Date | 06/05/2021
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Provider Practice Location Address
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Address Line | 5469 S STATE HIGHWAY FF
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City | BATTLEFIELD
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State | MO
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Zip | 65619-9825
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Country | US
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Telephone | 417-447-5180
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Fax |
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Provider Business Mailing Address
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Address Line | 5469 S STATE HIGHWAY FF
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City | BATTLEFIELD
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State | MO
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Zip | 65619-9825
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Country | US
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Telephone | 702-283-8421
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 6524
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2021001967
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License Number State | MO
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