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General NPI Number Information
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NPI Number | 1164550299
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Entity Type | Organization
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Legal Business Name | FOWLER & FOWLER, P.C.
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 07/28/2010
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Provider Practice Location Address
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Address Line | 140 PARKSIDE DRIVE
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City | COLORADO SPRINGS
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State | CO
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Zip | 80910-3129
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Country | US
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Telephone | 719-471-3471
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Fax | 719-471-0744
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Provider Business Mailing Address
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Address Line | 140 PARKSIDE DRIVE
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City | COLORADO SPRINGS
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State | CO
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Zip | 80910-3129
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Country | US
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Telephone | 719-471-3471
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Fax | 719-471-0744
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEPHANIE ANNE FOWLER
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Credential | M.D.
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Telephone | 719-471-3471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State | CO
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