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General NPI Number Information
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NPI Number | 1861735086
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Entity Type | Individual
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Provider Name | CLIFFORD WILLIAM BOWERS III D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/05/2013
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Last Update Date | 12/02/2021
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Provider Practice Location Address
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Address Line | 700 SQUIRES PT STE B
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City | DUNCAN
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State | SC
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Zip | 29334-8879
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Country | US
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Telephone | 864-428-9959
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Fax |
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Provider Business Mailing Address
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Address Line | 380 INDIAN CREEK RD
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City | SPARTANBURG
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State | SC
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Zip | 29302-5147
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Country | US
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Telephone | 864-310-3724
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 39095
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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