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General NPI Number Information
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NPI Number | 1518041516
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Entity Type | Organization
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Legal Business Name | ROBERT YOWLER
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 325 HWY. 42 EAST
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City | BEDFORD
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State | KY
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Zip | 40006
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Country | US
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Telephone | 502-255-3540
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Fax | 502-255-3615
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Provider Business Mailing Address
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Address Line | PO BOX 243
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City | BEDFORD
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State | KY
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Zip | 40006-0243
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Country | US
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Telephone | 502-255-3540
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Fax | 502-255-3615
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Authorized Official
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Title or Position | OWNER
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Name | MR. ROBERT PARKER YOWLER II
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Credential | R.PH.
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Telephone | 502-255-3540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 18D0950636
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License Number State | KY
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