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General NPI Number Information
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NPI Number | 1225035181
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Entity Type | Individual
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Provider Name | GLEN D ROWE D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/06/2005
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Last Update Date | 09/30/2015
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Provider Practice Location Address
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Address Line | 3601 SW 160TH AVE SUITE 250
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City | MIRAMAR
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State | FL
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Zip | 33027-6308
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Country | US
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Telephone | 877-866-7123
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Fax | 855-855-2792
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Provider Business Mailing Address
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Address Line | 640 S STATE ST 742 BUILDING
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City | DOVER
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State | DE
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Zip | 19901-3530
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Country | US
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Telephone | 302-674-3970
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Fax | 302-672-2350
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | C20003481
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2015-00314
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License Number State | NC
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