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General NPI Number Information
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NPI Number | 1851260699
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Entity Type | Organization
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Legal Business Name | LISA M BOWEN, INC.
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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 | 3617 DAYTON XENIA RD
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City | BEAVERCREEK
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State | OH
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Zip | 45432-2828
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Country | US
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Telephone | 937-376-9466
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Fax | 855-915-0290
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Provider Business Mailing Address
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Address Line | 3617 DAYTON XENIA RD
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City | BEAVERCREEK
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State | OH
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Zip | 45432-2828
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Country | US
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Telephone | 937-429-1795
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Fax | 855-915-0290
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Authorized Official
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Title or Position | OWNER
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Name | LISA MICHELLE BOWEN
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Credential | OD
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Telephone | 937-429-1795
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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