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NPI Code Detail

MEDICARE: SARAH ROW

MEDICARE:   SARAH  ROW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156FX1800XOptician

General Provider Information

NPI Number : 1013100379
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH ROW
Provider Business Mailing Address
First Line : 1705 DELHI ST
Second Line :
City : DUBUQUE
State : IA
Zip : 52001-5934
Country : US
Telephone Number : 563-557-1010
Fax Number :
Provider Business Practice Location Address
First Line : 1705 DELHI ST
Second Line :
City : DUBUQUE
State : IA
Zip : 52001-5934
Country : US
Telephone Number : 563-557-1010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2007
Last Update Date : 08/21/2007

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Directions to “ SARAH ROW ” Practice Location

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