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General NPI Number Information
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NPI Number | 1649568338
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Entity Type | Individual
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Provider Name | KIMBERLY STARR ROWAN PHD
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Gender | Female
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Dates
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Enumeration Date | 07/14/2011
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 13852 GREY FRIARS LN
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City | MIDLOTHIAN
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State | VA
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Zip | 23113-3938
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Country | US
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Telephone | 804-310-4785
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Fax |
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Provider Business Mailing Address
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Address Line | 13852 GREY FRIARS LN
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City | MIDLOTHIAN
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State | VA
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Zip | 23113-3938
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Country | US
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Telephone | 804-464-7763
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810004422
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 0810004422
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License Number State | VA
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