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General NPI Number Information
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NPI Number | 1568132777
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Entity Type | Organization
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Legal Business Name | ROWAN HEALTH AND WELLNESS
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Dates
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Enumeration Date | 09/18/2021
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Last Update Date | 11/16/2021
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Provider Practice Location Address
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Address Line | 417 N MAIN ST STE F
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City | SALISBURY
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State | NC
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Zip | 28144-4358
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Country | US
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Telephone | 980-432-1090
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Fax | 704-471-3016
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Provider Business Mailing Address
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Address Line | 1074 WOOD CREEK CIR
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City | CHINA GROVE
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State | NC
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Zip | 28023-5671
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Country | US
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Telephone | 704-699-8404
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TRACI JINEAN NIXON
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Credential | FNP
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Telephone | 980-432-1090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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