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General NPI Number Information
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NPI Number | 1427591700
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Entity Type | Organization
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Legal Business Name | ROCKROW LLC
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Dates
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Enumeration Date | 11/18/2016
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Last Update Date | 11/18/2016
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Provider Practice Location Address
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Address Line | 8260 KINGS CROWN RD
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City | PIKESVILLE
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State | MD
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Zip | 21208-2327
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Country | US
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Telephone | 410-618-5836
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Fax |
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Provider Business Mailing Address
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Address Line | 8260 KINGS CROWN RD
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City | PIKESVILLE
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State | MD
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Zip | 21208-2327
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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 | OWNER
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Name | KALU IBE
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Credential |
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Telephone | 410-618-5836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 0065564
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License Number State | MD
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