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General NPI Number Information
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NPI Number | 1255932638
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Entity Type | Individual
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Provider Name | JACQLYN ANN ROWLANDS
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Gender | Female
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Dates
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Enumeration Date | 11/03/2020
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Last Update Date | 11/03/2020
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Provider Practice Location Address
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Address Line | 500 TERRY RICH BLVD
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City | SAINT CLAIR
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State | PA
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Zip | 17970-1090
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Country | US
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Telephone | 570-429-2004
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Fax |
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Provider Business Mailing Address
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Address Line | 37 HILL RD
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City | POTTSVILLE
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State | PA
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Zip | 17901-8918
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Country | US
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Telephone | 570-294-2971
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | RP439362
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License Number State | PA
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