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General NPI Number Information
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NPI Number | 1871511345
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Entity Type | Individual
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Provider Name | RICHARD J BOWER MD
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 12/07/2025
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Provider Practice Location Address
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Address Line | 1 CHILDRENS PL SUITE A
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1002
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Country | US
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Telephone | 314-454-6022
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Fax | 314-454-2442
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Provider Business Mailing Address
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Address Line | C B 8221 7425 FORSYTH
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City | SAINT LOUIS
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State | MO
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Zip | 63105-2161
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Country | US
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Telephone | 314-454-6022
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Fax | 314-454-2442
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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 | 2086S0120X
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Taxonomy Name | Pediatric Surgery Physician
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License Number | R4285
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License Number State | MO
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