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General NPI Number Information
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NPI Number | 1528040268
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Entity Type | Individual
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Provider Name | NICHOLAS J ROWLEY MD
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Gender | Male
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Dates
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Enumeration Date | 11/17/2005
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Last Update Date | 03/15/2017
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Provider Practice Location Address
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Address Line | 201 COMMERCE WAY STE 104
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City | CLOVIS
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State | NM
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Zip | 88101-4775
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Country | US
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Telephone | 575-762-3385
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Fax | 575-762-3386
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Provider Business Mailing Address
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Address Line | 201 COMMERCE WAY STE 104
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City | CLOVIS
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State | NM
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Zip | 88101-4775
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Country | US
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Telephone | 575-762-3385
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Fax | 575-762-3386
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 76258
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 207YX0602X
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Taxonomy Name | Otolaryngic Allergy Physician
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License Number | 76258
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License Number State | NM
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