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General NPI Number Information
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NPI Number | 1164744926
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Entity Type | Organization
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Legal Business Name | B E HOWERTER, JR., M.D., P.A.
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Dates
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Enumeration Date | 02/22/2010
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Last Update Date | 03/09/2010
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Provider Practice Location Address
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Address Line | 209 W. 7TH STREET SUITE 5
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City | COFFEYVILLE
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State | KS
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Zip | 67337-4903
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Country | US
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Telephone | 620-251-4790
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Fax | 620-251-4791
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Provider Business Mailing Address
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Address Line | PO BOX 659 209 W 7TH STREET, SUITE 5
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City | COFFEYVILLE
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State | KS
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Zip | 67337-0659
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Country | US
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Telephone | 620-251-4790
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Fax | 620-251-4791
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Authorized Official
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Title or Position | CREDENTIALING/BILLER/CODER
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Name | CATHY FUGATE
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Credential | CPC
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Telephone | 620-251-4790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0415260
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License Number State | KS
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