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General NPI Number Information
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NPI Number | 1992217509
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Entity Type | Individual
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Provider Name | AMBY BOWEN BOWEN RN GERO-BC CCM
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Gender | Female
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Dates
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Enumeration Date | 11/04/2017
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 3318 BRIDGEPORT WAY W STE D-4
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98466-4598
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Country | US
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Telephone | 253-722-3430
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Fax | 833-224-3844
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Provider Business Mailing Address
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Address Line | 3800 BRIDGEPORT WAY W BOX A-170
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98466-7521
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Country | US
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Telephone | 253-722-3430
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Fax | 833-224-3844
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 4207529
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 163WG0600X
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Taxonomy Name | Gerontology Registered Nurse
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License Number | 2026037303
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN60051233
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License Number State | WA
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