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General NPI Number Information
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NPI Number | 1407991102
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Entity Type | Individual
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Provider Name | JUDY BURCHFIELD ROWE P.T.
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Gender | Female
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 06/09/2010
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Provider Practice Location Address
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Address Line | 11443 ASHTON LN E
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City | GULFPORT
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State | MS
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Zip | 39503-4429
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Country | US
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Telephone | 228-861-0591
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Fax | 228-896-2825
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Provider Business Mailing Address
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Address Line | 11443 ASHTON LN E
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City | GULFPORT
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State | MS
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Zip | 39503-4429
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Country | US
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Telephone | 228-861-0951
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Fax | 228-896-2825
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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 | MSPT0399
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License Number State | MS
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