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General NPI Number Information
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NPI Number | 1346531894
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Entity Type | Organization
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Legal Business Name | ROWLISON DIVERSIFIED INVESTMENTS
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Dates
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Enumeration Date | 05/02/2011
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Last Update Date | 08/30/2022
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Provider Practice Location Address
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Address Line | 1802 WOODDALE DR STE 101
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City | WOODBURY
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State | MN
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Zip | 55125-2927
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Country | US
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Telephone | 651-983-7892
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Fax | 651-212-4884
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Provider Business Mailing Address
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Address Line | 1802 WOODDALE DR STE 101
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City | WOODBURY
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State | MN
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Zip | 55125-2927
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Country | US
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Telephone | 651-983-7892
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Fax | 651-264-3039
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Authorized Official
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Title or Position | CEO
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Name | JON ROWLISON
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Credential |
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Telephone | 651-983-7892
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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