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General NPI Number Information
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NPI Number | 1003173717
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Entity Type | Individual
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Provider Name | JAMES KEVIN MOWERY RN
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Gender | Male
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Dates
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Enumeration Date | 04/19/2012
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Last Update Date | 08/26/2019
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Provider Practice Location Address
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Address Line | VA MONTANA MEDICAL CENTER EMERGENCY DEPARTMENT 3687 VETERANS DRIVE
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City | FT HARRISON
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State | MT
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Zip | 59636
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Country | US
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Telephone | 406-447-7472
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Fax |
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Provider Business Mailing Address
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Address Line | VA MONTANA MEDICAL CENTER EMERGENCY DEPARTMENT 3687 VETERANS DRIVE PO BOX 1500
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City | FT HARRISON
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State | MT
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Zip | 59636
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Country | US
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Telephone | 406-447-7472
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041.344716
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | NUR-RN-LIC-68023
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License Number State | MT
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