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General NPI Number Information
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NPI Number | 1376087403
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Entity Type | Individual
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Provider Name | OWEN DOW M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/08/2016
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Last Update Date | 12/08/2016
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Provider Practice Location Address
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Address Line | 6 WEDGEWOOD DR
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City | GRANTHAN
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State | NH
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Zip | 03753
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Country | US
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Telephone | 603-863-3317
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 1362 6 WEDGEWOOD DRIVE
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City | GRANTHAN
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State | NH
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Zip | 03753
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Country | US
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Telephone | 603-863-3317
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD6485
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License Number State | ME
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