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General NPI Number Information
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NPI Number | 1518202183
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Entity Type | Organization
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Legal Business Name | ROWELL HEALTH SERVICES INCORPORATED
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Dates
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Enumeration Date | 12/07/2012
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Last Update Date | 12/07/2012
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Provider Practice Location Address
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Address Line | 111 W JACKSON BLVD SUITE 1160
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City | CHICAGO
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State | IL
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Zip | 60604-3589
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Country | US
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Telephone | 312-583-0061
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Fax | 312-583-0063
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Provider Business Mailing Address
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Address Line | 111 W JACKSON BLVD SUITE 1160
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City | CHICAGO
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State | IL
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Zip | 60604-3589
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Country | US
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Telephone | 312-583-0061
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Fax | 312-583-0063
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSH ROWELL
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Credential | D.C.
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Telephone | 312-583-0061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038.012134
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License Number State | IL
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