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General NPI Number Information
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NPI Number | 1811997505
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Entity Type | Individual
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Provider Name | KRISTEN L. ROWE M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 09/02/2011
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Provider Practice Location Address
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Address Line | 300 MEDICAL PLZ SUITE 310
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City | LAKE ST LOUIS
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State | MO
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Zip | 63367-1481
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Country | US
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Telephone | 636-625-2662
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Fax | 636-625-6623
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Provider Business Mailing Address
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Address Line | 1413 WENTZVILLE PKWY
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City | WENTZVILLE
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State | MO
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Zip | 63385-3407
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Country | US
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Telephone | 636-332-5400
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Fax | 636-332-5404
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 23869
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 2007033674
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License Number State | MO
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