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General NPI Number Information
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NPI Number | 1952387706
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Entity Type | Individual
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Provider Name | CARLOS A COWLEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 04/23/2015
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Provider Practice Location Address
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Address Line | 601 N CONGRESS AVE SUITE 402
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City | DELRAY BEACH
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State | FL
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Zip | 33445-4623
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Country | US
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Telephone | 561-274-8933
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Fax | 561-274-8869
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Provider Business Mailing Address
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Address Line | 601 N CONGRESS AVE SUITE 402
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City | DELRAY BEACH
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State | FL
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Zip | 33445-4623
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Country | US
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Telephone | 561-274-8933
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Fax | 561-274-8869
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME52904
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License Number State | FL
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