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General NPI Number Information
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NPI Number | 1245021336
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Entity Type | Individual
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Provider Name | ALEXANDER ROWE
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Gender | Male
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Dates
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Enumeration Date | 05/16/2025
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 623 BROADWAY
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City | MASSAPEQUA
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State | NY
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Zip | 11758-5027
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Country | US
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Telephone | 516-781-1078
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Fax |
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Provider Business Mailing Address
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Address Line | 2551 WASHINGTON AVE
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City | OCEANSIDE
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State | NY
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Zip | 11572-1536
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Country | US
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Telephone | 646-330-9868
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 026470
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License Number State | NY
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