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General NPI Number Information
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NPI Number | 1508931544
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Entity Type | Organization
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Legal Business Name | NOVANT HEALTH ROWAN MEDICAL CENTER LLC
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 612 MOCKSVILLE AVE.
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City | SALISBURY
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State | NC
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Zip | 28144-2732
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Country | US
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Telephone | 704-210-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 2085 FRONTIS PLAZA BLVD FL 3
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City | WINSTON SALEM
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State | NC
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Zip | 27103-5614
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Country | US
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Telephone | 336-277-8757
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Fax | 336-718-8916
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Authorized Official
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Title or Position | PRESIDENT & COO
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Name | GARY BLABON
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Credential |
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Telephone | 336-277-8757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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