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General NPI Number Information
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NPI Number | 1851649370
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Entity Type | Individual
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Provider Name | MARK ALLEN HOWER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 08/15/2012
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Last Update Date | 08/15/2012
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Provider Practice Location Address
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Address Line | 200 E BRIDGE ST
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City | WAUSAU
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State | WI
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Zip | 54403-3574
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Country | US
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Telephone | 715-843-9800
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Fax |
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Provider Business Mailing Address
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Address Line | 3409 MIRAGE LN
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City | WESTON
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State | WI
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Zip | 54476-6703
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Country | US
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Telephone | 916-662-1706
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6973-15
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License Number State | WI
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