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NPI 1366322026

NPI 1366322026 : ALEXIS ROWAN : HAMILTON, NJ

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General NPI Number Information
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    NPI Number           |    1366322026
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    Entity Type          |    Individual 
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    Provider Name        |    ALEXIS ROWAN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/04/2025
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    Last Update Date     |    09/30/2025
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Provider Practice Location Address
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    Address Line         |    1085 WHITE HORSE AVE 
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    City                 |    HAMILTON
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    State                |    NJ
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    Zip                  |    08610-1424
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    Country              |    US
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    Telephone            |    856-308-0420
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2907 HAMILTON DR 
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    City                 |    VOORHEES
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    State                |    NJ
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    Zip                  |    08043-2618
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    Country              |    US
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    Telephone            |    
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    
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    License Number State |    
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