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General NPI Number Information
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NPI Number | 1053040402
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Entity Type | Individual
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Provider Name | HANNAH LOWDEN PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 06/09/2022
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 3055 COUNTY ROAD 210 W STE 110
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City | ST JOHNS
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State | FL
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Zip | 32259-7001
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Country | US
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Telephone | 904-634-0640
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Fax | 904-634-0203
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Provider Business Mailing Address
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Address Line | 6800 SOUTHPOINT PKWY STE 300
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City | JACKSONVILLE
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State | FL
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Zip | 32216-8203
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Country | US
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Telephone | 904-634-0640
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Fax | 904-634-0203
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PT200001391
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT42301
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License Number State | FL
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