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General NPI Number Information
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NPI Number | 1093631533
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Entity Type | Individual
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Provider Name | ROWENA SALAZAR
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Gender |
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 2101 KEN PRATT BLVD STE 204
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City | LONGMONT
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State | CO
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Zip | 80501-6085
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Country | US
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Telephone | 773-354-4285
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Fax | 773-354-4285
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Provider Business Mailing Address
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Address Line | 2101 KEN PRATT BLVD STE 104
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City | LONGMONT
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State | CO
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Zip | 80501-6568
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Country | US
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Telephone |
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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 | 1630120
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License Number State | CO
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