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General NPI Number Information
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NPI Number | 1023156015
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Entity Type | Individual
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Provider Name | FRANK A ROWE JR. PH.D.
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Gender | Male
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 544 NORTH CITYFRONT PLAZA DRIVE 24TH FLOOR
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City | CHICAGO
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State | IL
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Zip | 60612
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Country | US
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Telephone | 312-595-4008
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Fax | 773-722-6408
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Provider Business Mailing Address
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Address Line | 2406 GRANT ST
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City | EVANSTON
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State | IL
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Zip | 60201-2110
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Country | US
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Telephone | 847-475-7631
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Fax | 773-722-2404
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 71002115
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License Number State | IL
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