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General NPI Number Information
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NPI Number | 1205300936
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Entity Type | Individual
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Provider Name | ELLE M ROWE PTA
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Gender | Female
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Dates
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Enumeration Date | 01/16/2019
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Last Update Date | 01/16/2019
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Provider Practice Location Address
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Address Line | 5865 ROUTE 154
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City | FORKSVILLE
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State | PA
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Zip | 18616-8912
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Country | US
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Telephone | 607-857-4074
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Fax |
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Provider Business Mailing Address
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Address Line | 29 BAHR RD
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City | NEW ALBANY
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State | PA
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Zip | 18833-8805
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Country | US
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Telephone |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | TEI005308
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License Number State | PA
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