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General NPI Number Information
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NPI Number | 1700381332
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Entity Type | Individual
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Provider Name | JULIA COWAN REGISTERED NURSE
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Gender | Female
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Dates
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Enumeration Date | 03/26/2018
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Last Update Date | 03/26/2018
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Provider Practice Location Address
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Address Line | 759 27TH AVE
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City | SWEET HOME
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State | OR
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Zip | 97386-2994
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Country | US
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Telephone | 541-409-1397
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Fax |
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Provider Business Mailing Address
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Address Line | 27820 FERN RIDGE RD
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City | SWEET HOME
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State | OR
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Zip | 97386-9559
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Country | US
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Telephone | 541-367-7342
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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 | 364SL0600X
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Taxonomy Name | Long-Term Care Clinical Nurse Specialist
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License Number | 085068216RN
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License Number State | OR
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