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NPI 1487866836

NPI 1487866836 : BRADLEY E ROWE DDS : RICHLAND, WA

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General NPI Number Information
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    NPI Number           |    1487866836
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    Entity Type          |    Individual 
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    Provider Name        |    BRADLEY E ROWE DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/05/2007
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    Last Update Date     |    01/27/2026
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Provider Practice Location Address
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    Address Line         |    1663 FOWLER ST 
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    City                 |    RICHLAND
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    State                |    WA
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    Zip                  |    99352-4700
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    Country              |    US
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    Telephone            |    509-737-8700
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4512 VALDEZ CT 
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    City                 |    RICHLAND
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    State                |    WA
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    Zip                  |    99352-5000
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    Country              |    US
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    Telephone            |    509-392-9556
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    3470
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    License Number State |    NV
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    DE00010887
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    License Number State |    WA
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