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General NPI Number Information
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NPI Number | 1497753701
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Entity Type | Individual
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Provider Name | JOSEPH ROUW OD, FAAO, FCOVD
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Gender | Male
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Dates
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Enumeration Date | 07/11/2005
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 2055 HAMILTON CREEK PKWY STE 120
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City | DACULA
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State | GA
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Zip | 30019-7205
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Country | US
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Telephone | 770-904-0979
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Fax | 470-655-7914
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Provider Business Mailing Address
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Address Line | 3518 HABERSHAM CLUB DR
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City | CUMMING
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State | GA
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Zip | 30041-8003
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Country | US
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Telephone | 678-448-2854
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1441
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2581
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2353
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License Number State | GA
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