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General NPI Number Information
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NPI Number | 1699044529
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Entity Type | Individual
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Provider Name | LESLIE BENNETT DOWLING DPM
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Gender | Female
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Dates
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Enumeration Date | 12/21/2011
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 545 KNIGHT AVE
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City | WAYCROSS
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State | GA
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Zip | 31501-3354
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Country | US
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Telephone | 912-490-3668
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Fax | 912-490-5577
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Provider Business Mailing Address
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Address Line | 545 KNIGHT AVE
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City | WAYCROSS
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State | GA
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Zip | 31501-3354
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Country | US
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Telephone | 912-490-3668
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Fax | 912-490-5577
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | POD001151
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License Number State | GA
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