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General NPI Number Information
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NPI Number | 1902400328
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Entity Type | Individual
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Provider Name | CHRISTINA LYNN BOWMAN RN
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Gender | Female
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Dates
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Enumeration Date | 11/25/2020
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Last Update Date | 11/25/2020
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Provider Practice Location Address
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Address Line | 322 12TH ST
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City | HUNTINGTON
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State | WV
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Zip | 25701-1520
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Country | US
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Telephone | 304-781-6960
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Fax | 304-781-3510
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Provider Business Mailing Address
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Address Line | 322 12TH ST
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City | HUNTINGTON
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State | WV
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Zip | 25701-1520
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Country | US
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Telephone | 304-781-6960
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Fax | 304-781-3510
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 58597
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License Number State | WV
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