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General NPI Number Information
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NPI Number | 1629315676
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Entity Type | Individual
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Provider Name | RICHARD ROWLES RPH
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Gender | Male
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Dates
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Enumeration Date | 01/10/2013
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Last Update Date | 01/06/2021
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Provider Practice Location Address
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Address Line | 376 NORTHLAKE BLVD
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-5261
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Country | US
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Telephone | 800-628-6965
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Fax |
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Provider Business Mailing Address
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Address Line | 2029 MYRTLE PINE ST
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City | KISSIMMEE
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State | FL
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Zip | 34746-2353
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Country | US
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Telephone | 702-419-2965
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS42409
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License Number State | FL
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