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General NPI Number Information
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NPI Number | 1851317069
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Entity Type | Individual
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Provider Name | WALTER WAYNE MCDOWELL CERTIFIED FAMILY NP
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Gender | Male
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 800 PENNSYLVANIA AVE CAMC WOMENS AND CHILDRENS DIVISION FAMILY RESOURCE CTR
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City | CHARLESTON
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State | WV
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Zip | 25302-3351
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Country | US
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Telephone | 304-388-2545
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Fax | 304-388-2781
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Provider Business Mailing Address
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Address Line | 1508 VIRGINIA ST E
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City | CHARLESTON
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State | WV
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Zip | 25311-2412
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Country | US
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Telephone | 304-388-2545
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Fax | 304-388-2781
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 39314
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License Number State | WV
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