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General NPI Number Information
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NPI Number | 1245448448
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Entity Type | Individual
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Provider Name | RAYMOND D. LOWE M.A.
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Gender | Male
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Dates
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Enumeration Date | 05/19/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 153 STATE ST
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City | MONTPELIER
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State | VT
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Zip | 05602-3361
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Country | US
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Telephone | 802-223-7111
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Fax |
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Provider Business Mailing Address
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Address Line | 153 STATE ST
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City | MONTPELIER
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State | VT
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Zip | 05602-3361
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Country | US
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Telephone | 802-223-7111
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 068-0000184
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License Number State | VT
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