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General NPI Number Information
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NPI Number | 1700176021
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Entity Type | Individual
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Provider Name | FLYNN ANDREW ROWAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/08/2011
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 1690 US HIGHWAY 1 S STE F
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City | ST AUGUSTINE
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State | FL
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Zip | 32084-6024
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Country | US
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Telephone | 904-634-0640
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Fax | 904-634-0203
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Provider Business Mailing Address
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Address Line | 1690 US HIGHWAY 1 S STE F
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City | ST AUGUSTINE
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State | FL
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Zip | 32084-6024
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Country | US
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Telephone | 904-634-0640
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Fax | 904-634-0203
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 01079279A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | A144006
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | ME172362
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License Number State | FL
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