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General NPI Number Information
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NPI Number | 1609110105
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Entity Type | Individual
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Provider Name | BRIAN ANTHONY ROWE FNP
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Gender | Male
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Dates
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Enumeration Date | 11/21/2012
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Last Update Date | 04/05/2019
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Provider Practice Location Address
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Address Line | 12291 WASHINGTON BLVD. SUITE 500
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City | WHITTIER
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State | CA
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Zip | 90606-2551
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Country | US
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Telephone | 562-967-2273
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Fax | 562-967-2911
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Provider Business Mailing Address
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Address Line | 1 HOAG DR PO BOX 6100
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-4162
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Country | US
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Telephone | 949-764-1800
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Fax | 949-764-8104
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 21182
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 760402
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License Number State | CA
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