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General NPI Number Information
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NPI Number | 1407187438
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Entity Type | Organization
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Legal Business Name | T. E. TROW, M.D., P.L.L.C.
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Dates
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Enumeration Date | 01/14/2010
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Last Update Date | 09/28/2012
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Provider Practice Location Address
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Address Line | 18452 W LAKEWOOD DR
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City | PARK HILL
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State | OK
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Zip | 74451-2217
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Country | US
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Telephone | 918-457-4344
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Fax |
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Provider Business Mailing Address
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Address Line | 18452 W LAKEWOOD DR
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City | PARK HILL
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State | OK
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Zip | 74451-2217
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Country | US
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Telephone | 918-457-4344
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/PHYSICIAN
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Name | DR. THOMAS EDWARD TROW
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Credential | M.D.
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Telephone | 918-457-4344
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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 | 10255
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License Number State | OK
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