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General NPI Number Information
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NPI Number | 1326216656
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Entity Type | Individual
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Provider Name | SHIRLEY P. ROWLEY CRNA
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Gender | Female
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Dates
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Enumeration Date | 02/20/2008
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Last Update Date | 02/20/2008
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Provider Practice Location Address
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Address Line | 1560 SUMRALL RD
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City | COLUMBIA
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State | MS
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Zip | 39429-2654
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Country | US
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Telephone | 601-736-6303
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Fax | 601-740-2233
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Provider Business Mailing Address
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Address Line | PO BOX 630
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City | COLUMBIA
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State | MS
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Zip | 39429-0630
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Country | US
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Telephone | 601-736-6303
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Fax | 601-740-2233
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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 | R104120
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License Number State | MS
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