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General NPI Number Information
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NPI Number | 1285962167
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Entity Type | Individual
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Provider Name | JOHN ROTHWELL PHARMD
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Gender | Male
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Dates
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Enumeration Date | 12/03/2009
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Last Update Date | 01/13/2021
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Provider Practice Location Address
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Address Line | 5760 WALZEM RD
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City | SAN ANTONIO
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State | TX
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Zip | 78218-2107
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Country | US
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Telephone | 210-657-7071
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Fax | 210-657-0853
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Provider Business Mailing Address
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Address Line | 3027 NACOGDOCHES RD
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City | SAN ANTONIO
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State | TX
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Zip | 78217-4541
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Country | US
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Telephone | 210-824-5928
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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 | 41232
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License Number State | TX
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