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NPI 1982232047

NPI 1982232047 : PAUL THOMAS COWAN DO : BALTIMORE, MD

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General NPI Number Information
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    NPI Number           |    1982232047
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    Entity Type          |    Individual 
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    Provider Name        |    PAUL THOMAS COWAN DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/01/2020
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    Last Update Date     |    05/13/2025
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Provider Practice Location Address
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    Address Line         |    1800 ORLEANS ST 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21287-0010
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    Country              |    US
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    Telephone            |    410-502-2037
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6201 GREENLEIGH AVE 
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    City                 |    MIDDLE RIVER
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    State                |    MD
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    Zip                  |    21220-2004
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    Country              |    US
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    Telephone            |    410-933-0000
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    Fax                  |    410-500-4266
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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        |    207YX0007X
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    Taxonomy Name        |    Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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    License Number       |    H0102409
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    License Number State |    MD
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