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General NPI Number Information
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NPI Number | 1467420711
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Entity Type | Individual
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Provider Name | DONALD E STOWELL MD
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Gender | Male
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Dates
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Enumeration Date | 03/11/2006
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Last Update Date | 06/06/2019
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Provider Practice Location Address
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Address Line | 1617 N CALIFORNIA ST STE 1D
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City | STOCKTON
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State | CA
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Zip | 95204
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Country | US
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Telephone | 209-948-1234
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Fax |
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Provider Business Mailing Address
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Address Line | 1617 N CALIFORNIA ST STE 1D
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City | STOCKTON
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State | CA
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Zip | 95204-6117
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Country | US
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Telephone | 209-579-5628
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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 | 21190
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 21190
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | 21190
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License Number State | OK
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Taxonomy #4
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 21190
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License Number State | OK
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