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General NPI Number Information
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NPI Number | 1396979225
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Entity Type | Organization
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Legal Business Name | VA CHANGES AND CHALLENGES INC
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Dates
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Enumeration Date | 05/06/2009
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Last Update Date | 07/13/2009
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Provider Practice Location Address
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Address Line | 2727 ELECTRIC RD STE 103
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City | ROANOKE
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State | VA
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Zip | 24018-3500
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Country | US
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Telephone | 540-206-2538
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Fax | 540-242-9048
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Provider Business Mailing Address
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Address Line | 2727 ELECTRIC RD STE 103
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City | ROANOKE
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State | VA
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Zip | 24018-3500
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Country | US
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Telephone | 540-206-2538
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Fax | 540-242-9048
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. THOMAS R ROWELL
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Credential | MD
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Telephone | 540-206-2538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101242091
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License Number State | VA
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