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General NPI Number Information
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NPI Number | 1134736655
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Entity Type | Organization
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Legal Business Name | DR. ROWE AND DR. CANARY ORTHODONTISTS PLLC
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Dates
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Enumeration Date | 09/29/2020
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Last Update Date | 09/29/2020
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Provider Practice Location Address
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Address Line | 11 PARK ST
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City | LEOMINSTER
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State | MA
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Zip | 01453-5671
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Country | US
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Telephone | 978-537-6100
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Fax | 978-537-4007
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Provider Business Mailing Address
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Address Line | 11 PARK ST
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City | LEOMINSTER
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State | MA
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Zip | 01453-5671
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Country | US
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Telephone | 978-537-6100
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Fax | 978-537-4007
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Authorized Official
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Title or Position | MEMBER
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Name | TODD K ROWE
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Credential | DMD, MS
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Telephone | 978-537-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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