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General NPI Number Information
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NPI Number | 1043348493
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Entity Type | Individual
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Provider Name | JUDI L. ROWE ATC
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Gender | Female
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1900 2ND AVE S
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City | GREAT FALLS
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State | MT
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Zip | 59405-2704
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Country | US
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Telephone | 406-268-6269
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Fax |
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Provider Business Mailing Address
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Address Line | 614 15TH ST N
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City | GREAT FALLS
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State | MT
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Zip | 59401-1644
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Country | US
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Telephone | 406-452-0598
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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