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General NPI Number Information
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NPI Number | 1932190998
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Entity Type | Individual
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Provider Name | MADELINE DIANE HOWELL NP
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Gender | Female
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 03/19/2009
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Provider Practice Location Address
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Address Line | 559 VINCENT ST SUITE 605
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City | PETERSON AFB
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State | CO
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Zip | 80914-1540
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Country | US
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Telephone | 318-572-4437
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Fax |
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Provider Business Mailing Address
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Address Line | 559 VINCENT ST SUITE 605
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City | PETERSON AFB
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State | CO
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Zip | 80914-1540
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Country | US
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Telephone | 318-572-4437
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | RN2048162
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License Number State | FL
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