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General NPI Number Information
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NPI Number | 1114110608
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Entity Type | Individual
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Provider Name | WILLIAM R LOWE MD
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Gender | Male
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Dates
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Enumeration Date | 08/20/2007
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 201 CANYON CREST DR STE 100
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City | TWIN FALLS
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State | ID
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Zip | 83301-5935
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Country | US
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Telephone | 208-734-7362
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Fax |
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Provider Business Mailing Address
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Address Line | 201 CANYON CREST DR STE 100
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City | TWIN FALLS
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State | ID
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Zip | 83301-5935
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Country | US
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Telephone |
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Fax |
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 353884
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 48797
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 353884-1205
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License Number State | UT
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Taxonomy #4
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | M-16016
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License Number State | ID
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