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General NPI Number Information
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NPI Number | 1053482497
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Entity Type | Individual
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Provider Name | CHAD ERIC FOWLER D.D.S., M.S.D.
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Gender | Male
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 09/10/2007
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Provider Practice Location Address
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Address Line | 511 NEW HIGHWAY 96 W SUITE 203
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City | FRANKLIN
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State | TN
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Zip | 37064-2470
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Country | US
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Telephone | 615-591-4770
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Fax |
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Provider Business Mailing Address
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Address Line | 511 NEW HIGHWAY 96 W SUITE 203
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City | FRANKLIN
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State | TN
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Zip | 37064-2470
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Country | US
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Telephone | 615-591-4770
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 8634
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License Number State | TN
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