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General NPI Number Information
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NPI Number | 1093782815
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Entity Type | Individual
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Provider Name | WILLIAM B NOWLIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/01/2006
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Last Update Date | 08/21/2013
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Provider Practice Location Address
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Address Line | 3000 N MARKET AVE SUITE D
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-3514
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Country | US
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Telephone | 479-966-4801
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Fax | 479-966-4804
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Provider Business Mailing Address
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Address Line | 3000 N MARKET AVE SUITE D
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-3514
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Country | US
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Telephone | 479-966-4801
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Fax | 479-966-4804
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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 | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | N-7223
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License Number State | AR
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