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General NPI Number Information
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NPI Number | 1770370777
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Entity Type | Individual
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Provider Name | SHELBY ROWE
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Gender | Female
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 181 DUNLAP RD
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City | BLOUNTVILLE
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State | TN
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Zip | 37617-6333
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Country | US
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Telephone | 937-216-9062
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Fax |
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Provider Business Mailing Address
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Address Line | 441 SIERRA DR
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City | KINGSPORT
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State | TN
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Zip | 37664-4502
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 15433
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License Number State | TN
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