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General NPI Number Information
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NPI Number | 1730216128
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Entity Type | Organization
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Legal Business Name | COWELL FAMILY MEDICINE, P.C.
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 03/19/2009
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Provider Practice Location Address
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Address Line | 358 E CHICAGO STREET SUITE 204E
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City | COLDWATER
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State | MI
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Zip | 49036-2072
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Country | US
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Telephone | 517-279-0400
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Fax | 517-279-0949
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Provider Business Mailing Address
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Address Line | 358 E CHICAGO STREET SUITE 204E
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City | COLDWATER
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State | MI
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Zip | 49036-2072
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Country | US
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Telephone | 517-279-0400
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Fax | 517-279-0949
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Authorized Official
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Title or Position | OWNER
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Name | DR. KEVIN HERBERT COWELL
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Credential | D.O.
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Telephone | 517-279-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5101016284
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License Number State | MI
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