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NPI 1124241385

NPI 1124241385 : ROBERT WESLEY ROWLAND P.A.-C : ORLANDO, FL

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General NPI Number Information
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    NPI Number           |    1124241385
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    Entity Type          |    Individual 
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    Provider Name        |    ROBERT WESLEY ROWLAND P.A.-C
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/10/2007
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    Last Update Date     |    10/19/2011
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Provider Practice Location Address
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    Address Line         |    1405 S ORANGE AVE STE 200
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32806-2154
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    Country              |    US
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    Telephone            |    407-481-2244
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    Fax                  |    407-481-8160
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Provider Business Mailing Address
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    Address Line         |    PO BOX 568008 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32856-8008
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    Country              |    US
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    Telephone            |    407-481-2244
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    Fax                  |    407-481-8160
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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        |    363AS0400X
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    Taxonomy Name        |    Surgical Physician Assistant
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    License Number       |    PA3472
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    License Number State |    FL
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