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General NPI Number Information
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NPI Number | 1801686423
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Entity Type | Individual
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Provider Name | DESMOND CARDELL ROWE
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Gender | Male
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 5202 W MARKET ST
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City | GREENSBORO
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State | NC
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Zip | 27409-2616
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Country | US
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Telephone | 336-317-8776
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Fax |
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Provider Business Mailing Address
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Address Line | 1427 US HIGHWAY 25 N
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City | EDGEFIELD
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State | SC
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Zip | 29824-3506
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Country | US
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Telephone | 803-334-6815
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | A21129
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License Number State | NC
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