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NPI 1700877727

NPI 1700877727 : DEBORAH DOWNES : WPAFB, OH

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General NPI Number Information
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    NPI Number           |    1700877727
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    Entity Type          |    Individual 
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    Provider Name        |    DEBORAH DOWNES
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/31/2005
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    4881 SUGAR MAPLE DR 
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    City                 |    WPAFB
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    State                |    OH
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    Zip                  |    45433-5546
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    Country              |    US
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    Telephone            |    937-257-9069
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    219 W XENIA DR 
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    City                 |    FAIRBORN
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    State                |    OH
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    Zip                  |    45324-4920
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    Country              |    US
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    Telephone            |    
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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        |    132700000X
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    Taxonomy Name        |    Dietary Manager
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    License Number       |    
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    License Number State |    
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