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General NPI Number Information
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NPI Number | 1114001047
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Entity Type | Organization
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Legal Business Name | MARY DOWD MD, PA
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 12/30/2010
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Provider Practice Location Address
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Address Line | 26 SCHOOL ST
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City | YARMOUTH
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State | ME
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Zip | 04096-4709
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Country | US
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Telephone | 207-846-6212
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Fax | 207-846-9191
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Provider Business Mailing Address
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Address Line | 301 US ROUTE ONE BUILDING C
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City | SCARBOROUGH
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State | ME
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Zip | 04074-9701
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Country | US
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Telephone | 207-396-8600
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Fax | 207-396-8632
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | MARY DOWD
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Credential | MD
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Telephone | 207-846-6212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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