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General NPI Number Information
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NPI Number | 1356305411
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Entity Type | Individual
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Provider Name | MARY DOWD MD
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Gender | Female
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 03/03/2008
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Provider Practice Location Address
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Address Line | 63 PREBLE ST
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City | PORTLAND
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State | ME
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Zip | 04101-3014
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Country | US
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Telephone | 207-822-0232
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Fax | 207-822-0237
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Provider Business Mailing Address
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Address Line | PO BOX 724
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City | AUGUSTA
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State | ME
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Zip | 04332-0724
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Country | US
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Telephone | 207-822-0232
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Fax | 207-822-0237
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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 | 013040
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License Number State | ME
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