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General NPI Number Information
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NPI Number | 1467707406
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Entity Type | Individual
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Provider Name | SHAWN PHILIP PLOWMAN PA-C MMS
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Gender | Male
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Dates
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Enumeration Date | 07/16/2012
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 800 CORPORATE DR STE 100
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City | LADERA RANCH
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State | CA
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Zip | 92694-1153
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Country | US
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Telephone | 949-364-9112
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Fax | 949-364-9016
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Provider Business Mailing Address
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Address Line | PO BOX 35380
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City | LAS VEGAS
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State | NV
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Zip | 89133-5380
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Country | US
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Telephone |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 22377
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License Number State | CA
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