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General NPI Number Information
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NPI Number | 1992720106
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Entity Type | Individual
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Provider Name | ROBERT BURMAN BOWEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 04/14/2010
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Provider Practice Location Address
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Address Line | 947 S THREE NOTCH ST
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City | ANDALUSIA
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State | AL
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Zip | 36420-5231
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Country | US
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Telephone | 334-222-6055
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Fax | 334-222-6077
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Provider Business Mailing Address
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Address Line | PO BOX 1667 947 S THREE NOTCH ST
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City | ANDALUSIA
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State | AL
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Zip | 36420
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Country | US
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Telephone | 334-222-6055
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Fax | 334-222-6077
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 00027531
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License Number State | AL
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