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General NPI Number Information
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NPI Number | 1922001890
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Entity Type | Individual
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Provider Name | THOMAS EDWARD BOWDEN JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1900 MAIN ST
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City | FRANKLINTON
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State | LA
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Zip | 70438-3688
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Country | US
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Telephone | 985-795-5469
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Fax |
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Provider Business Mailing Address
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Address Line | 321 WINDERMERE OAKS EAST
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City | MADISONVILLE
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State | LA
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Zip | 70447
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Country | US
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Telephone | 985-845-0093
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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 | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 09753R
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License Number State | LA
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