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General NPI Number Information
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NPI Number | 1104976505
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Entity Type | Individual
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Provider Name | PATRICIA ANN NOWELL DPM
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Gender | Female
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 01/14/2011
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Provider Practice Location Address
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Address Line | 741 E 22ND ST
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City | BROOKLYN
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State | NY
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Zip | 11210-1103
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Country | US
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Telephone | 718-859-3983
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Fax |
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Provider Business Mailing Address
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Address Line | 741 E 22ND ST
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City | BROOKLYN
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State | NY
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Zip | 11210-1103
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Country | US
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Telephone | 718-859-3983
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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 | POD001108
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | N004212
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License Number State | NY
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