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General NPI Number Information
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NPI Number | 1649374273
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Entity Type | Individual
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Provider Name | THOMAS DOWLING DDS
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Gender | Male
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 04/17/2013
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Provider Practice Location Address
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Address Line | 1771 E MAIN ST
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City | OMRO
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State | WI
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Zip | 54963-0503
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Country | US
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Telephone | 920-685-2121
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Fax | 920-685-0467
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Provider Business Mailing Address
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Address Line | PO BOX 503
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City | OMRO
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State | WI
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Zip | 54963-0503
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Country | US
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Telephone | 920-685-2121
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Fax | 920-685-0467
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3181
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License Number State | WI
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