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General NPI Number Information
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NPI Number | 1801235171
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Entity Type | Individual
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Provider Name | JARED MARTIN MCGOWEN PT
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Gender | Male
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Dates
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Enumeration Date | 06/20/2013
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1650 COCHRANE CIR EVANS ARMY COMMUNITY HOSPITAL
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City | FORT CARSON
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State | CO
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Zip | 80913-4613
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Country | US
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Telephone | 661-342-6783
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Fax |
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Provider Business Mailing Address
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Address Line | 36056 SANTA FE AVE CARL R. DARNALL ARMY MEDICAL CENTER
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City | FORT HOOD
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State | TX
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Zip | 76544
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Country | US
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Telephone | 254-288-8037
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 1369219
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License Number State | TX
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