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General NPI Number Information
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NPI Number | 1225006760
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Entity Type | Organization
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Legal Business Name | LOWCOUNTRY ORTHOPAEDIC ASSOCIATES PA
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 01/06/2015
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Provider Practice Location Address
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Address Line | 2880 TRICOM ST
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City | N CHARLESTON
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State | SC
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Zip | 29406-9171
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Country | US
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Telephone | 843-797-5050
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Fax | 843-797-3633
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Provider Business Mailing Address
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Address Line | 2880 TRICOM ST
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City | N CHARLESTON
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State | SC
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Zip | 29406-9171
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Country | US
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Telephone | 843-797-5050
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Fax | 843-793-5444
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Authorized Official
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Title or Position | PARTNER
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Name | DON OWEN STOVALL JR.
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Credential | M.D.
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Telephone | 843-797-5050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number |
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number |
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number |
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State | SC
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Taxonomy #6
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State | SC
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