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General NPI Number Information
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NPI Number | 1780098335
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Entity Type | Individual
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Provider Name | BEVYN ROWLAND PSYD
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Gender | Female
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Dates
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Enumeration Date | 06/11/2014
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Last Update Date | 08/04/2015
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Provider Practice Location Address
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Address Line | 601 MAIN ST SUITE 214
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City | VANCOUVER
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State | WA
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Zip | 98660-3402
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Country | US
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Telephone | 360-521-9200
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Fax |
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Provider Business Mailing Address
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Address Line | 3115 FAIRMOUNT AVE
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City | VANCOUVER
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State | WA
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Zip | 98661-4450
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Country | US
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Telephone | 360-521-9200
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY60267694
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License Number State | WA
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