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General NPI Number Information
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NPI Number | 1164681912
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Entity Type | Individual
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Provider Name | JO ANN H. LOWE NURSE
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Gender | Female
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Dates
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Enumeration Date | 06/06/2008
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Last Update Date | 06/09/2008
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Provider Practice Location Address
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Address Line | 2427 TOWNSQUARE DR
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City | JACKSONVILLE
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State | FL
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Zip | 32216-3399
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Country | US
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Telephone | 904-514-4246
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Fax | 904-724-8079
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Provider Business Mailing Address
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Address Line | 2427 TOWNSQUARE DR
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City | JACKSONVILLE
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State | FL
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Zip | 32216-3399
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Country | US
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Telephone | 904-514-4246
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Fax | 904-724-8079
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | PN1173111
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License Number State | FL
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