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General NPI Number Information
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NPI Number | 1366960965
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Entity Type | Individual
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Provider Name | JULIA ROWEN
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Gender | Female
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Dates
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Enumeration Date | 09/03/2017
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Last Update Date | 12/18/2018
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Provider Practice Location Address
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Address Line | 1801 LOUISVILLE AVE
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City | MONROE
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State | LA
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Zip | 71201
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Country | US
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Telephone | 318-369-5880
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Fax |
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Provider Business Mailing Address
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Address Line | 4301 W MARKHAM ST # 541-10
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City | LITTLE ROCK
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State | AR
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Zip | 72205-7199
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Country | US
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Telephone | 501-320-7266
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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 | 022139
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PD14319
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License Number State | AR
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