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General NPI Number Information
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NPI Number | 1730566332
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Entity Type | Organization
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Legal Business Name | J. ROWLAND MD, LLC
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Dates
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Enumeration Date | 05/03/2015
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Last Update Date | 05/03/2015
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Provider Practice Location Address
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Address Line | 1511 GUNBARREL RD SUITE 111
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City | CHATTANOOGA
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State | TN
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Zip | 37421-5050
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Country | US
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Telephone | 615-690-6600
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Fax | 615-309-5002
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Provider Business Mailing Address
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Address Line | 1511 GUNBARREL RD SUITE 111
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City | CHATTANOOGA
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State | TN
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Zip | 37421-5050
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Country | US
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Telephone | 615-690-6600
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Fax | 615-309-5002
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. DAPHNE BAKER LODGE
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Credential | RN
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Telephone | 615-330-3419
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 34464
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License Number State | TN
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