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General NPI Number Information
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NPI Number | 1245126713
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Entity Type | Individual
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Provider Name | CARL LOUIS ROWENS III
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Gender | Male
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 12829 EASTERN SHORE DR
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City | EASTVALE
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State | CA
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Zip | 92880-3458
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Country | US
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Telephone | 951-818-2176
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Fax |
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Provider Business Mailing Address
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Address Line | 12829 EASTERN SHORE DR
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City | EASTVALE
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State | CA
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Zip | 92880-3458
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Country | US
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Telephone | 951-818-2176
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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 | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number |
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License Number State |
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