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General NPI Number Information
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NPI Number | 1972085140
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Entity Type | Individual
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Provider Name | REGINA M BOWIE FNP
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Gender | Female
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Dates
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Enumeration Date | 09/04/2018
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Last Update Date | 03/29/2023
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Provider Practice Location Address
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Address Line | 92 CAMPUS DR FL 3
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City | SCARBOROUGH
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State | ME
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Zip | 04074-7228
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Country | US
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Telephone | 207-797-5753
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Fax |
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Provider Business Mailing Address
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Address Line | 92 CAMPUS DR FL 3
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City | SCARBOROUGH
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State | ME
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Zip | 04074-7228
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Country | US
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Telephone | 207-797-5753
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN67745
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN2306087
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP181221
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License Number State | ME
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