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General NPI Number Information
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NPI Number | 1346452869
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Entity Type | Individual
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Provider Name | BEVERLY SUE DOWDLE L.M.T.
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Gender | Female
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 231B COMMERCIAL BLVD.
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City | LAUDERDALE BY THE SEA
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State | FL
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Zip | 33308-4441
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Country | US
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Telephone | 954-772-1919
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Fax |
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Provider Business Mailing Address
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Address Line | 231 N.E. 57 COURT
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City | OAKLAND PARK
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State | FL
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Zip | 33334
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Country | US
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Telephone | 954-938-5131
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MA 6733
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License Number State | FL
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