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General NPI Number Information
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NPI Number | 1255548012
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Entity Type | Individual
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Provider Name | ROBERT HOWARD ROWE PT
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Gender | Male
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3901 UNIVERSITY BLVD S SUITE 137
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City | JACKSONVILLE
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State | FL
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Zip | 32216-4312
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Country | US
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Telephone | 904-858-7317
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 BRIARCREEK RD
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City | JACKSONVILLE
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State | FL
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Zip | 32225-5310
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Country | US
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Telephone | 904-646-4668
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 647
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License Number State | LA
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