{
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"OrgName": "ROWDEN FAMILY MEDICINE, PC",
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"FirstLineMailingAddress": "738 PRAIRIE VIEW DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HERCULANEUM",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "63048-1647",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "314-307-2727",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "12 JEFFERSON SQ",
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"PracticeLocationAddressCityName": "DE SOTO",
"PracticeLocationAddressStateName": "MO",
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"PracticeLocationAddressTelephoneNumber": "636-586-6685",
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"EnumerationDate": "04/17/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "ROWDEN",
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"AuthorizedOfficialCredential": "M.D,",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Family Medicine Physician",
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"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}