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General NPI Number Information
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NPI Number | 1447593421
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Entity Type | Individual
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Provider Name | CHRISTOPHER M MCDOWELL LMT
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Gender | Male
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Dates
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Enumeration Date | 03/28/2013
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Last Update Date | 03/28/2013
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Provider Practice Location Address
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Address Line | 1097 HIGHWAY H
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City | FREDERICKTOWN
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State | MO
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Zip | 63645-7348
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Country | US
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Telephone | 573-561-4951
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Fax |
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Provider Business Mailing Address
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Address Line | 1097 HIGHWAY H
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City | FREDERICKTOWN
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State | MO
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Zip | 63645-7348
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Country | US
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Telephone | 573-561-4951
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 2011007899
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License Number State | MO
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