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General NPI Number Information
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NPI Number | 1376321349
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Entity Type | Individual
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Provider Name | NANCY ANN ROWEN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/20/2023
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 121 W NEIDER AVE
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City | COEUR D ALENE
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State | ID
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Zip | 83815-9300
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Country | US
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Telephone | 208-765-4311
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Fax |
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Provider Business Mailing Address
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Address Line | 21900 E COUNTRY VISTA DR UNIT K101
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City | LIBERTY LAKE
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State | WA
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Zip | 99019-5169
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Country | US
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Telephone | 817-240-0985
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | P10884
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License Number State | ID
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