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General NPI Number Information
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NPI Number | 1245455880
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Entity Type | Organization
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Legal Business Name | ROWDEN FAMILY MEDICINE, PC
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12 JEFFERSON SQ
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City | DE SOTO
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State | MO
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Zip | 63020-1031
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Country | US
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Telephone | 636-586-6685
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Fax | 636-586-2780
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Provider Business Mailing Address
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Address Line | 738 PRAIRIE VIEW DR
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City | HERCULANEUM
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State | MO
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Zip | 63048-1647
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Country | US
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Telephone | 314-307-2727
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PHILIP M ROWDEN
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Credential | M.D,
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Telephone | 314-307-2727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2002007109
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License Number State | MO
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