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General NPI Number Information
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NPI Number | 1144035767
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Entity Type | Individual
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Provider Name | KEVIN ROWLAND LCSW
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Gender | Male
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 55 CARLTON ST
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City | ATHENS
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State | GA
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Zip | 30602-1503
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Country | US
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Telephone | 706-542-2273
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Fax | 706-542-8661
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Provider Business Mailing Address
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Address Line | 310 CANDLESTICK DR
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City | HULL
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State | GA
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Zip | 30646-3382
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Country | US
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Telephone | 478-290-4792
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW008677
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License Number State | GA
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