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General NPI Number Information
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NPI Number | 1801034285
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Entity Type | Organization
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Legal Business Name | STAN P. COWLEY, JR, DDS
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Dates
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Enumeration Date | 01/23/2009
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Last Update Date | 01/23/2009
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Provider Practice Location Address
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Address Line | 3237 METAIRIE RD
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City | METAIRIE
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State | LA
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Zip | 70001-5214
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Country | US
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Telephone | 504-831-4895
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Fax | 504-831-5957
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Provider Business Mailing Address
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Address Line | 3237 METAIRIE RD
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City | METAIRIE
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State | LA
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Zip | 70001-5214
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Country | US
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Telephone | 504-831-4895
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Fax | 504-831-5957
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. STAN P COWLEY JR.
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Credential | DDS
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Telephone | 504-831-4895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5472
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2698
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License Number State | LA
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