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General NPI Number Information
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NPI Number | 1053590802
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Entity Type | Individual
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Provider Name | EDWIN M. MOW D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 10/29/2007
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Last Update Date | 10/29/2007
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Provider Practice Location Address
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Address Line | 505 LAKEVIEW AVE
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City | MILFORD
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State | DE
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Zip | 19963-2917
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Country | US
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Telephone | 302-424-1760
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Fax |
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Provider Business Mailing Address
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Address Line | 505 LAKEVIEW AVE
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City | MILFORD
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State | DE
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Zip | 19963-2917
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Country | US
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Telephone | 302-424-1760
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E1-0000109
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License Number State | DE
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