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General NPI Number Information
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NPI Number | 1942379946
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Entity Type | Individual
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Provider Name | JOYCELY M BOWENS R.PH
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Gender | Female
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10 RICHLAND MEDICAL PARK DR
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City | COLUMBIA
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State | SC
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Zip | 29203-6892
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Country | US
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Telephone | 803-434-6482
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Fax | 803-434-6448
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Provider Business Mailing Address
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Address Line | 9 CAVENDISH CT
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City | IRMO
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State | SC
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Zip | 29063-8329
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Country | US
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Telephone | 803-781-3768
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Fax | 803-434-6448
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 006658
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License Number State | SC
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