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General NPI Number Information
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NPI Number | 1386605491
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Entity Type | Individual
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Provider Name | JOHN TIMOTHY DOW MD
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Gender | Male
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 03/08/2022
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Provider Practice Location Address
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Address Line | 1300 INDUSTRIAL PARK DR
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City | TRUMANN
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State | AR
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Zip | 72472-9702
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Country | US
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Telephone | 870-412-1122
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Fax | 870-418-1126
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Provider Business Mailing Address
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Address Line | PO BOX 1331
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City | JONESBORO
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State | AR
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Zip | 72403-1331
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Country | US
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Telephone | 870-972-8181
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Fax | 870-974-7001
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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 | 14292
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | N-6770
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License Number State | AR
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