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General NPI Number Information
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NPI Number | 1568599306
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Entity Type | Organization
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Legal Business Name | ROWAN ENTERPRISES INC
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 08/19/2009
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Provider Practice Location Address
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Address Line | 4729 N ROAN ST STE 2
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City | JOHNSON CITY
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State | TN
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Zip | 37615-3959
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Country | US
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Telephone | 423-283-0911
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Fax | 423-283-0990
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Provider Business Mailing Address
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Address Line | 4729 N ROAN ST STE 2
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City | JOHNSON CITY
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State | TN
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Zip | 37615-3959
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Country | US
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Telephone | 423-283-0911
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Fax | 423-283-0990
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Authorized Official
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Title or Position | PRESIDENT AND OWNER
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Name | THOMAS ROWAN
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Credential | DPH
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Telephone | 423-283-0911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 2064
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License Number State | TN
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