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General NPI Number Information
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NPI Number | 1497744304
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Entity Type | Individual
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Provider Name | BARRY MICHAEL STOWE MD
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Gender | Male
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Dates
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Enumeration Date | 10/14/2005
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Last Update Date | 06/30/2021
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Provider Practice Location Address
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Address Line | 67 CREEKSIDE PARK CT
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City | GREENVILLE
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State | SC
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Zip | 29615-4810
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Country | US
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Telephone | 704-355-2372
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Fax | 704-355-6692
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Provider Business Mailing Address
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Address Line | 300 E MCBEE AVE FL 4
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City | GREENVILLE
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State | SC
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Zip | 29601-2842
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Country | US
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Telephone | 704-377-5772
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Fax | 704-377-3389
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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 | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | 85616
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 200200811
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License Number State | NC
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