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General NPI Number Information
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NPI Number | 1861139784
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Entity Type | Individual
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Provider Name | KAREN BOWMAN
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Gender | Female
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Dates
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Enumeration Date | 05/13/2022
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Last Update Date | 05/13/2022
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Provider Practice Location Address
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Address Line | 1801 CHUKKA HINA
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City | DURANT
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State | OK
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Zip | 74701-7117
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Country | US
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Telephone | 580-920-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 671 ISLAND BAYOU DR
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City | CALERA
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State | OK
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Zip | 74730-3857
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Country | US
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Telephone | 580-775-7191
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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 | 163WI0600X
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Taxonomy Name | Infection Control Registered Nurse
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License Number | R0070068
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License Number State | OK
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