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General NPI Number Information
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NPI Number | 1134682818
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Entity Type | Individual
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Provider Name | BRIAN F NOWLEN DPM
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Gender | Male
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Dates
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Enumeration Date | 04/10/2019
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Last Update Date | 09/16/2022
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Provider Practice Location Address
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Address Line | 1808 SHERMAN DR
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City | PRINCETON
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State | IN
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Zip | 47670-1043
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Country | US
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Telephone | 812-385-9328
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Fax | 812-385-9329
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Provider Business Mailing Address
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Address Line | 350 WOODRIDGE CIR UNIT E
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City | SOUTH ELGIN
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State | IL
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Zip | 60177-2388
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Country | US
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Telephone | 505-681-6595
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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 | 07001404A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 135.001055
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License Number State | IL
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