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General NPI Number Information
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NPI Number | 1437526837
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Entity Type | Individual
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Provider Name | ANDREW COWLES
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Gender | Male
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Dates
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Enumeration Date | 09/01/2015
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Last Update Date | 09/01/2015
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Provider Practice Location Address
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Address Line | 812 UNIVERSITY ST BOX 942
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City | PELLA
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State | IA
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Zip | 50219-1902
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Country | US
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Telephone | 641-208-6370
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Fax |
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Provider Business Mailing Address
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Address Line | 505 KARR AVE
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City | BLOOMFIELD
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State | IA
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Zip | 52537-2049
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Country | US
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Telephone | 641-208-6370
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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