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General NPI Number Information
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NPI Number | 1912629734
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Entity Type | Individual
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Provider Name | TYNERIA ROWE SPECIALIST
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Gender | Female
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Dates
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Enumeration Date | 09/19/2022
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 300 COLONIAL CENTER PKWY STE 100N
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City | ROSWELL
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State | GA
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Zip | 30076-4892
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Country | US
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Telephone | 678-405-9363
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Fax |
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Provider Business Mailing Address
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Address Line | 7300 SPALDING DR STE SALON
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City | PEACHTREE CORNERS
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State | GA
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Zip | 30092-4279
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Country | US
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Telephone | 678-751-9853
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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 | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number |
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License Number State |
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