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General NPI Number Information
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NPI Number | 1437573458
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Entity Type | Individual
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Provider Name | JONATHAN NOWLAND D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/11/2014
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Last Update Date | 09/18/2019
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Provider Practice Location Address
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Address Line | 720 SUNRISE AVE STE 104B
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City | ROSEVILLE
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State | CA
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Zip | 95661-4508
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Country | US
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Telephone | 916-780-1370
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Fax |
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Provider Business Mailing Address
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Address Line | 2031 E HOSPITALITY LN STE 150
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City | BOISE
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State | ID
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Zip | 83716-6603
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Country | US
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Telephone | 916-780-1370
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Fax | 916-780-1413
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIA-1671
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC32820
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License Number State | CA
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