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General NPI Number Information
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NPI Number | 1710365580
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Entity Type | Individual
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Provider Name | DANIEL FOWLER
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Gender | Male
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Dates
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Enumeration Date | 05/13/2015
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 129 N LOCUST AVE
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City | LAWRENCEBURG
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State | TN
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Zip | 38464-3757
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Country | US
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Telephone | 931-762-7232
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Fax | 931-762-7234
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Provider Business Mailing Address
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Address Line | 45 ADDIMACK CV
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City | BELLS
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State | TN
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Zip | 38006-2400
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Country | US
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Telephone | 731-961-1796
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6295
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License Number State | TN
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