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General NPI Number Information
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NPI Number | 1770506198
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Entity Type | Individual
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Provider Name | SALLY JOHNSON ROWLEY PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 05/13/2009
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Provider Practice Location Address
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Address Line | 9150 SW 87TH AVE SUITE 109
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City | MIAMI
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State | FL
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Zip | 33176-2319
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Country | US
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Telephone | 305-596-4663
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Fax | 305-596-6947
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Provider Business Mailing Address
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Address Line | 13262 SW 114TH TER
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City | MIAMI
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State | FL
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Zip | 33186-7917
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Country | US
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Telephone | 305-596-4663
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Fax | 305-596-6847
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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 | PY6227
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PY6227
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | PY6227
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License Number State | FL
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