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General NPI Number Information
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NPI Number | 1679313498
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Entity Type | Individual
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Provider Name | JOSHUA MCDOWELL DDS
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Gender | Male
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Dates
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Enumeration Date | 05/29/2024
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 478 SW 12TH ST
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City | ONTARIO
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State | OR
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Zip | 97914-3202
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Country | US
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Telephone | 541-889-6666
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Fax |
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Provider Business Mailing Address
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Address Line | 2088 E MAPLEWOOD ST
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City | GILBERT
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State | AZ
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Zip | 85297-1138
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Country | US
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Telephone | 480-435-8662
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D11988
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License Number State | OR
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