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NPI Code Detail

MEDICARE: ROSE COLE HOWELL CLINICAL SOCIAL WORK

MEDICARE: ROSE COLE HOWELL CLINICAL SOCIAL WORK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerC001598NC

General Provider Information

NPI Number : 1568592509
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSE COLE HOWELL CLINICAL SOCIAL WORK
Provider Business Mailing Address
First Line : PO BOX 165
Second Line :
City : DURHAM
State : NC
Zip : 27702-0165
Country : US
Telephone Number : 919-956-4061
Fax Number : 919-956-4094
Provider Business Practice Location Address
First Line : 1301 FAYETTEVILLE ST
Second Line :
City : DURHAM
State : NC
Zip : 27707-2398
Country : US
Telephone Number : 919-956-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2007
Last Update Date : 08/30/2022

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1770787558 — MS. CHRISTINE YOUNG KIM FREEMAN D.O.
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1528332467 — MR. CALEB RYAN FRAZIER RD, LDN
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Directions to “ ROSE COLE HOWELL CLINICAL SOCIAL WORK” Practice Location

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