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General NPI Number Information
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NPI Number | 1316118409
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Entity Type | Organization
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Legal Business Name | STEVEN SOWELL OD PA
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Dates
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Enumeration Date | 03/17/2008
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Last Update Date | 11/23/2010
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Provider Practice Location Address
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Address Line | 2033 N WEST AVE
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City | EL DORADO
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State | AR
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Zip | 71730-3349
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Country | US
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Telephone | 870-863-0856
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Fax | 870-862-9123
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Provider Business Mailing Address
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Address Line | 2033 N WEST AVE
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City | EL DORADO
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State | AR
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Zip | 71730-3349
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STEVEN SOWELL
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Credential | OD PA
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Telephone | 870-863-0856
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | AR2252
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License Number State | AR
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