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General NPI Number Information
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NPI Number | 1366949844
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Entity Type | Individual
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Provider Name | BRIAN MCGOWAN MD
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Gender | Male
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Dates
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Enumeration Date | 04/10/2018
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 3385 DEXTER CT STE 300
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City | DAVENPORT
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State | IA
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Zip | 52807-3471
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Country | US
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Telephone | 563-344-9292
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Fax | 563-344-9573
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Provider Business Mailing Address
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Address Line | 3385 DEXTER CT STE 300
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City | DAVENPORT
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State | IA
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Zip | 52807-3471
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Country | US
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Telephone | 563-344-9292
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Fax | 563-344-9573
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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 | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 32515
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD52694
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License Number State | IA
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