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General NPI Number Information
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NPI Number | 1164817128
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Entity Type | Organization
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Legal Business Name | ROWE SPINE AND PAIN LLC
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Dates
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Enumeration Date | 04/06/2015
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Last Update Date | 04/20/2020
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Provider Practice Location Address
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Address Line | 25 SHERINGTON DR STE D
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City | BLUFFTON
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State | SC
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Zip | 29910-6031
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Country | US
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Telephone | 843-310-1055
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Fax | 843-310-1056
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Provider Business Mailing Address
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Address Line | 114 CANAL ST STE 503
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City | POOLER
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State | GA
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Zip | 31322-4261
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Country | US
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Telephone | 843-310-1055
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Fax | 843-310-1056
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Authorized Official
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Title or Position | OWNER
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Name | DAVID ROWE
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Credential | MD
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Telephone | 843-670-9598
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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