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General NPI Number Information
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NPI Number | 1124635552
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Entity Type | Individual
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Provider Name | GERARD LOWDER DC
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Gender | Male
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Dates
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Enumeration Date | 09/29/2020
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Last Update Date | 09/29/2020
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Provider Practice Location Address
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Address Line | 107 TINDALL RD
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City | MIDDLETOWN
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State | NJ
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Zip | 07748-2321
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Country | US
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Telephone | 732-546-2980
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Fax |
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Provider Business Mailing Address
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Address Line | 11 ROBERT RD
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City | HAZLET
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State | NJ
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Zip | 07730-2025
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Country | US
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Telephone | 732-264-4989
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 38MC00258600
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License Number State | NJ
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