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General NPI Number Information
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NPI Number | 1285424184
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Entity Type | Individual
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Provider Name | SHELLY MARIE ROWE ACUPUNCTURIST
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Gender | Female
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 1925 COUNTY ROAD B2 W STE 1
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City | ROSEVILLE
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State | MN
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Zip | 55113-2703
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Country | US
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Telephone | 651-631-0204
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Fax |
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Provider Business Mailing Address
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Address Line | 5231 SUMMIT ST
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City | WHITE BEAR LAKE
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State | MN
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Zip | 55110-6535
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Country | US
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Telephone | 612-868-0495
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Fax | 612-868-0495
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 2087
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License Number State | MN
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