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General NPI Number Information
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NPI Number | 1013089150
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Entity Type | Individual
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Provider Name | DONNA J LOWRY MA LPC
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Gender | Female
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10 BEECHES LANE
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City | SO WOODSTOCK
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State | CT
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Zip | 06267
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Country | US
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Telephone | 860-928-9789
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Fax | 860-963-0866
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Provider Business Mailing Address
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Address Line | PO BOX 6
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City | SO WOODSTOCK
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State | CT
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Zip | 06267-0006
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Country | US
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Telephone | 860-928-9789
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Fax | 860-963-0866
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 000212
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License Number State | CT
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