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General NPI Number Information
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NPI Number | 1568684074
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Entity Type | Organization
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Legal Business Name | ROLWING CHIROPRACTIC LLC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 201 DARTMOUTH DR. SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-2219
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Country | US
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Telephone | 505-315-0224
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 40488
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City | ALBUQUERQUE
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State | NM
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Zip | 87196-0488
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Country | US
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Telephone | 505-315-0224
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES PATRICK ROLWING
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Credential | D.C.
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Telephone | 505-315-0224
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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 | 1468
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License Number State | NM
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