{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SCOTT EDWARD BOWLIN",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherLastName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "5440 CLARE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SHAWNEE",
"MailingAddressStateName": "KS",
"MailingAddressPostalCode": "66226-2811",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "816-321-2543",
"MailingAddressFaxNumber": "816-873-1121",
"FirstLinePracticeLocationAddress": "1515 W WHITE OAK ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "INDEPENDENCE",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "64050-2557",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "816-321-2543",
"PracticeLocationAddressFaxNumber": "816-873-1121",
"EnumerationDate": "01/06/2017",
"LastUpdateDate": "01/06/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BOWLIN",
"AuthorizedOfficialFirstName": "SCOTT",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DO",
"AuthorizedOfficialTelephoneNumber": "816-321-2543",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207QG0300X",
"TaxonomyName": "Geriatric Medicine (Family Medicine) Physician",
"LicenseNumber": "R5P18",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}