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General NPI Number Information
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NPI Number | 1194723163
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Entity Type | Individual
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Provider Name | LEE DICKINSON ROWE MD
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Gender | Male
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 12/08/2016
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Provider Practice Location Address
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Address Line | 2340 E ALLEGHENY AVE
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City | PHILA
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State | PA
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Zip | 19134-4433
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Country | US
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Telephone | 215-423-6670
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Fax | 215-423-7787
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Provider Business Mailing Address
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Address Line | 2450 W HUNTING PARK AVE
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City | PHILA
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State | PA
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Zip | 19129-1302
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Country | US
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Telephone | 215-926-9022
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Fax | 215-226-8286
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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 | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number | MD017012E
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License Number State | PA
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