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General NPI Number Information
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NPI Number | 1558483552
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Entity Type | Individual
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Provider Name | GALEN EVAN HOWARD M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 09/16/2021
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Provider Practice Location Address
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Address Line | 3537 S INTERSTATE 35 E STE 315
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City | DENTON
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State | TX
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Zip | 76210-6870
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Country | US
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Telephone | 940-365-0706
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Fax | 940-536-0710
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Provider Business Mailing Address
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Address Line | 3537 S INTERSTATE 35 E STE 315
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City | DENTON
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State | TX
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Zip | 76210-6870
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Country | US
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Telephone | 940-365-0706
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Fax | 940-536-0710
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | M5764
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License Number State | TX
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