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General NPI Number Information
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NPI Number | 1174594097
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Entity Type | Individual
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Provider Name | JACQUELINE S ROWLES CRNA, ANP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 07/29/2015
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Provider Practice Location Address
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Address Line | 9002 N MERIDIAN ST LOWER LEVEL
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-5381
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Country | US
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Telephone | 574-268-9640
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Fax | 574-268-0684
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Provider Business Mailing Address
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Address Line | 15272 KAMPEN CIR
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City | CARMEL
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State | IN
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Zip | 46033-0002
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Country | US
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Telephone | 574-268-9640
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 28084276A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 71004611A
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License Number State | IN
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