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General NPI Number Information
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NPI Number | 1073578464
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Entity Type | Individual
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Provider Name | KEITH LOUWENAAR MD
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Gender | Male
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 05/20/2008
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Provider Practice Location Address
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Address Line | 801 E WILLIAMS AVENUE
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City | FALLON
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State | NV
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Zip | 89406
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Country | US
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Telephone | 775-689-9114
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11278
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City | RENO
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State | NV
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Zip | 89510-1278
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Country | US
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Telephone | 775-423-4477
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Fax | 775-423-4417
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 8573
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License Number State | NV
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