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NPI 1588618599

NPI 1588618599 : STANLEY W DOWELL MD : MEMPHIS, TN

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General NPI Number Information
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    NPI Number           |    1588618599
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    Entity Type          |    Individual 
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    Provider Name        |    STANLEY W DOWELL MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/22/2006
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    Last Update Date     |    05/01/2025
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Provider Practice Location Address
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    Address Line         |    1325 EASTMORELAND AVE STE 245 
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    City                 |    MEMPHIS
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    State                |    TN
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    Zip                  |    38104-3591
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    Country              |    US
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    Telephone            |    901-516-9800
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    Fax                  |    901-516-9817
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Provider Business Mailing Address
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    Address Line         |    1211 UNION AVE STE 330 
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    City                 |    MEMPHIS
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    State                |    TN
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    Zip                  |    38104-6655
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    Country              |    US
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    Telephone            |    
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    17719
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    License Number State |    TN
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