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NPI 1760703094

NPI 1760703094 : LINDSAY FOWLER DOWIS D.O. : DAHLONEGA, GA

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General NPI Number Information
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    NPI Number           |    1760703094
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    Entity Type          |    Individual 
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    Provider Name        |    LINDSAY FOWLER DOWIS D.O.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/22/2010
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    Last Update Date     |    11/25/2019
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Provider Practice Location Address
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    Address Line         |    400 WALMART WAY STE F 
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    City                 |    DAHLONEGA
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    State                |    GA
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    Zip                  |    30533-0829
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    Country              |    US
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    Telephone            |    706-867-7666
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1357 
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    City                 |    DAHLONEGA
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    State                |    GA
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    Zip                  |    30533-0023
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    Country              |    US
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    Telephone            |    678-234-1413
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    2012-02142
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    4138
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    License Number State |    GA
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Taxonomy #3
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    67016
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    License Number State |    GA
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