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General NPI Number Information
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NPI Number | 1467665422
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Entity Type | Individual
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Provider Name | GLORIA JEAN ROWE
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Gender | Female
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5531 STATE ROUTE 6
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City | ANDOVER
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State | OH
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Zip | 44003
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Country | US
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Telephone | 440-293-7278
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Fax |
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Provider Business Mailing Address
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Address Line | 2919 TAMARACK DR
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City | SHARPSVILLE
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State | PA
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Zip | 16150-8550
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Country | US
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Telephone | 724-301-1485
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA02982
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License Number State | OH
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