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General NPI Number Information
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NPI Number | 1376840322
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Entity Type | Organization
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Legal Business Name | ROWE GROUP CONSTRUCTION, LLC
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Dates
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Enumeration Date | 02/26/2011
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Last Update Date | 02/26/2011
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Provider Practice Location Address
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Address Line | 3726 JEFFERSON BLVD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-1638
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Country | US
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Telephone | 757-288-6251
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Fax | 757-464-1770
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Provider Business Mailing Address
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Address Line | PO BOX 5099
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City | VIRGINIA BEACH
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State | VA
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Zip | 23471-0099
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Country | US
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Telephone | 757-288-6251
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Fax | 757-464-1770
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | SHIRLEY ROWE BLOUNT
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Credential |
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Telephone | 757-288-6251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number | 2705 128238A
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License Number State | VA
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