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General NPI Number Information
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NPI Number | 1609376011
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Entity Type | Individual
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Provider Name | JENNIFER ROWLAND RN, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 02/13/2018
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Last Update Date | 03/12/2022
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Provider Practice Location Address
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Address Line | 1304 HERITAGE CIR N
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City | HERNANDO
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State | MS
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Zip | 38632-6980
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Country | US
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Telephone | 870-723-7808
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Fax |
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Provider Business Mailing Address
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Address Line | 1304 HERITAGE CIR N
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City | HERNANDO
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State | MS
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Zip | 38632-6980
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Country | US
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Telephone | 870-723-7808
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | R68915
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | R68915
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License Number State | AR
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