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General NPI Number Information
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NPI Number | 1023330537
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Entity Type | Individual
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Provider Name | DANA M. ROLLEN PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 02/25/2010
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Last Update Date | 07/09/2021
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Provider Practice Location Address
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Address Line | 251 EASTWAY DR
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City | CHARLOTTE
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State | NC
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Zip | 28213-7103
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Country | US
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Telephone | 704-446-0903
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Fax | 704-446-0968
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Provider Business Mailing Address
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Address Line | 2129 ROSLYN AVE
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City | CHARLOTTE
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State | NC
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Zip | 28208-4271
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Country | US
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Telephone | 704-453-9156
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 16485
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License Number State | NC
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