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General NPI Number Information
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NPI Number | 1689344665
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Entity Type | Organization
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Legal Business Name | FOWLER FAMILY MEDICINE, PLLC
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Dates
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Enumeration Date | 09/20/2021
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Last Update Date | 02/09/2022
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Provider Practice Location Address
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Address Line | 3200 PEOPLES DR STE 210
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City | HARRISONBURG
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State | VA
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Zip | 22801-7633
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Country | US
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Telephone | 540-217-0911
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Fax | 877-758-4943
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Provider Business Mailing Address
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Address Line | PO BOX 1307
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City | HARRISONBURG
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State | VA
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Zip | 22803-1307
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Country | US
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Telephone | 540-217-0911
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Fax | 877-758-4943
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROCKY FOWLER
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Credential | MD
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Telephone | 540-271-0911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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