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General NPI Number Information
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NPI Number | 1417596297
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Entity Type | Individual
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Provider Name | DANA DOWELL MS, LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 12/27/2019
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Last Update Date | 12/27/2019
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Provider Practice Location Address
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Address Line | 1981 UNION CHURCH RD
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City | CAMERON
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State | NC
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Zip | 28326-7957
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Country | US
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Telephone | 910-947-5511
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Fax |
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Provider Business Mailing Address
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Address Line | 1767 BUFFALO RD
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City | GALIEN
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State | MI
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Zip | 49113-9660
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Country | US
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Telephone | 773-822-9808
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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 | 207PS0010X
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Taxonomy Name | Sports Medicine (Emergency Medicine) Physician
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License Number | 2000031896
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License Number State | NC
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