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General NPI Number Information
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NPI Number | 1336970557
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Entity Type | Individual
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Provider Name | FEDERIC CURTIS DOWDEN PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 08/09/2024
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 6107 LONESTAR RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-3137
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Country | US
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Telephone | 910-286-7065
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Fax |
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Provider Business Mailing Address
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Address Line | 6107 LONESTAR RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-3137
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Country | US
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Telephone | 910-286-7065
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2024027738
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License Number State | NC
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