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General NPI Number Information
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NPI Number | 1760801153
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Entity Type | Individual
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Provider Name | SHAWN COLLIN ROWLAND M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/14/2014
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Last Update Date | 01/07/2022
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Provider Practice Location Address
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Address Line | 2825 E COTTONWOOD PKWY STE 500
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City | SALT LAKE CITY
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State | UT
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Zip | 84121-7060
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Country | US
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Telephone | 801-382-7879
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Fax | 657-284-6973
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Provider Business Mailing Address
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Address Line | 2825 E COTTONWOOD PKWY STE 500
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City | SALT LAKE CITY
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State | UT
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Zip | 84121-7060
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Country | US
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Telephone | 801-382-7879
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Fax | 657-284-6973
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD2019-0762
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 8526216-1205
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License Number State | UT
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