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General NPI Number Information
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NPI Number | 1285619767
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Entity Type | Individual
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Provider Name | JAN C ROWLETT RN ARNP CRNA
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Gender | Female
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Dates
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Enumeration Date | 12/07/2005
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Last Update Date | 07/21/2008
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Provider Practice Location Address
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Address Line | 916 HIGHWAY 69
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City | FORT SCOTT
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State | KS
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Zip | 66701-8885
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Country | US
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Telephone | 620-223-0200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 25097
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City | OVERLAND PARK
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State | KS
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Zip | 66225-5097
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Country | US
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Telephone | 913-268-4133
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Fax | 913-268-4138
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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 | 1454603052
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 54279
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 54279
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License Number State | KS
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