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General NPI Number Information
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NPI Number | 1245204148
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Entity Type | Individual
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Provider Name | MATTHEW C. LOWE DDS
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Gender | Male
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 12/29/2011
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Provider Practice Location Address
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Address Line | 2711 S ROUSE ST A
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City | PITTSBURG
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State | KS
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Zip | 66762-6620
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Country | US
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Telephone | 620-230-0035
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Fax | 620-230-0036
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Provider Business Mailing Address
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Address Line | 2711 S ROUSE ST A
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City | PITTSBURG
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State | KS
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Zip | 66762-6620
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Country | US
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Telephone | 620-230-0035
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Fax | 620-230-0036
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 6736
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License Number State | KS
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