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General NPI Number Information
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NPI Number | 1639145147
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Entity Type | Individual
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Provider Name | VESTA D MCDOWELL DPM
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Gender | Female
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Dates
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Enumeration Date | 02/24/2006
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Last Update Date | 10/31/2018
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Provider Practice Location Address
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Address Line | 14300 GALLANT FOX LN STE 201
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City | BOWIE
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State | MD
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Zip | 20715-4033
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Country | US
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Telephone | 301-352-7756
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Fax | 301-352-7725
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Provider Business Mailing Address
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Address Line | PO BOX 624
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City | BOWIE
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State | MD
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Zip | 20718-0624
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Country | US
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Telephone | 301-352-7756
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Fax | 301-352-7725
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | PO415
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | P29611
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License Number State | MD
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