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General NPI Number Information
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NPI Number | 1346208113
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Entity Type | Individual
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Provider Name | TRAVIS WORTH HOWELL M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 10/25/2020
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Provider Practice Location Address
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Address Line | 7130 VILLAGE MEDICAL CIR
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City | CLEMMONS
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State | NC
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Zip | 27012
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Country | US
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Telephone | 336-893-2420
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Fax | 336-893-2431
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Provider Business Mailing Address
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Address Line | PO BOX 751803
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City | CHARLOTTE
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State | NC
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Zip | 28275-1803
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Country | US
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Telephone | 336-718-7800
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Fax | 336-718-7900
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2006-00236
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License Number State | NC
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