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General NPI Number Information
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NPI Number | 1346442019
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Entity Type | Individual
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Provider Name | ANGELA MCDOWELL D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 09/30/2021
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Provider Practice Location Address
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Address Line | 1105 BURLEYSON RD
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City | DALTON
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State | GA
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Zip | 30720-3181
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Country | US
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Telephone | 706-278-4640
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Fax |
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Provider Business Mailing Address
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Address Line | 116 E 4TH AVE
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City | CORDELE
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State | GA
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Zip | 31015-3210
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Country | US
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Telephone | 229-276-3038
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Fax | 229-276-3631
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 69429
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License Number State | GA
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