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General NPI Number Information
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NPI Number | 1619081452
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Entity Type | Individual
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Provider Name | BRENDA G HOWLAND M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 12/07/2015
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Provider Practice Location Address
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Address Line | 450 S WILLARD ST SUITE 115
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City | COTTONWOOD
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State | AZ
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Zip | 86326-6743
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Country | US
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Telephone | 928-634-5551
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Fax | 928-634-5604
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Provider Business Mailing Address
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Address Line | 1200 N BEAVER ST PAYER CREDENTIALING
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-3118
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Country | US
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Telephone | 928-773-2559
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Fax | 928-213-6292
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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 | 20411
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License Number State | AZ
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