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General NPI Number Information
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NPI Number | 1790722833
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Entity Type | Individual
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Provider Name | JURI OSMELL MCDOWELL MD
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Gender | Male
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1431 CENTERPOINT BLVD
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City | KNOXVILLE
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State | TN
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Zip | 37932-1984
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Country | US
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Telephone | 865-985-7253
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Fax |
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Provider Business Mailing Address
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Address Line | 1620 LUCAS AVE APT 904
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City | SAINT LOUIS
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State | MO
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Zip | 63103-1850
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 2005008375
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License Number State | MO
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