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General NPI Number Information
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NPI Number | 1265511166
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Entity Type | Individual
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Provider Name | EUGENE W. GOWER ATC
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Gender | Male
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 12/31/2015
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Provider Practice Location Address
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Address Line | 2809 SAUCON VALLEY RD
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City | CENTER VALLEY
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State | PA
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Zip | 18034-8447
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Country | US
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Telephone | 610-730-2119
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Fax |
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Provider Business Mailing Address
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Address Line | 2338 CATASAUQUA RD R-6
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City | BETHLEHEM
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State | PA
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Zip | 18018-1061
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Country | US
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Telephone | 610-807-0665
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | RT002178A
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License Number State | PA
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