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General NPI Number Information
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NPI Number | 1962475525
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Entity Type | Individual
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Provider Name | HENRY M BOWERS JR. MD
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Gender | Male
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 5542 HIGH ST SUITE C
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-4026
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Country | US
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Telephone | 727-842-4848
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 552279
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City | TAMPA
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State | FL
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Zip | 33655-0001
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Country | US
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Telephone | 727-842-4848
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | ME65540
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License Number State | FL
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