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General NPI Number Information
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NPI Number | 1669540837
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Entity Type | Individual
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Provider Name | RONNIE JAY ROWLAND OD
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Gender | Male
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 11/20/2009
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Provider Practice Location Address
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Address Line | 2531 F LIME STATION RD
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City | CREEDMOOR
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State | NC
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Zip | 27522
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Country | US
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Telephone | 919-528-3819
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 505 115 GILLIAM ST
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City | OXFORD
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State | NC
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Zip | 27565
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Country | US
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Telephone | 919-693-4611
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Fax | 919-693-4612
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1231
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License Number State | NC
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