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General NPI Number Information
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NPI Number | 1124243365
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Entity Type | Individual
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Provider Name | SANDRA KAY ROWE LPC
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Gender | Female
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Dates
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Enumeration Date | 04/14/2007
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Last Update Date | 06/03/2013
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Provider Practice Location Address
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Address Line | 100 RIDGEWAY ST SUITE 1
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City | HOT SPRINGS
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State | AR
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Zip | 71901-7145
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Country | US
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Telephone | 501-623-2266
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Fax |
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Provider Business Mailing Address
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Address Line | 106 LAKESHORE LN
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6612
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Country | US
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Telephone | 501-622-0838
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | P1101007
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License Number State | AR
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