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General NPI Number Information
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NPI Number | 1255898110
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Entity Type | Individual
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Provider Name | MRS. ZEPPORAH V DOWTIN
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Gender | Female
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Dates
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Enumeration Date | 02/27/2019
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Last Update Date | 02/24/2020
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Provider Practice Location Address
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Address Line | 2931 HEATHER RIDGE DR
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City | RICHMOND
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State | VA
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Zip | 23231-8946
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Country | US
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Telephone | 404-492-3598
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Fax | 804-507-2556
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Provider Business Mailing Address
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Address Line | 2931 HEATHER RIDGE DR
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City | RICHMOND
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State | VA
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Zip | 23231-8946
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Country | US
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Telephone | 804-243-1665
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Fax | 804-507-1430
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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 | 172A00000X
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Taxonomy Name | Driver
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License Number | T64204670
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License Number State | VA
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