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General NPI Number Information
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NPI Number | 1053131276
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Entity Type | Individual
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Provider Name | JOHN ROWER
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Gender | Male
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Dates
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Enumeration Date | 10/14/2024
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 770 E 11TH AVE
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City | EUGENE
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State | OR
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Zip | 97401-3746
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Country | US
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Telephone | 458-205-7001
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 657
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City | JUNCTION CITY
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State | OR
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Zip | 97448-0657
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Country | US
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Telephone | 541-729-5160
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 10043884
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 201605730RN
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License Number State | OR
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