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NPI 1275307167

NPI 1275307167 : AVA ELIZABETH LOWELL PT, DPT : SCARBOROUGH, ME

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General NPI Number Information
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    NPI Number           |    1275307167
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    Entity Type          |    Individual 
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    Provider Name        |    AVA ELIZABETH LOWELL PT, DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/10/2023
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    Last Update Date     |    08/18/2025
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Provider Practice Location Address
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    Address Line         |    55 SPRING ST 
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    City                 |    SCARBOROUGH
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    State                |    ME
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    Zip                  |    04074-8926
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    Country              |    US
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    Telephone            |    207-396-5165
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3506 NYLAND WAY 
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    City                 |    LAFAYETTE
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    State                |    CO
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    Zip                  |    80026-8900
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    Country              |    US
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    Telephone            |    303-709-4833
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    8885
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    License Number State |    ID
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Taxonomy #2
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    Taxonomy Code        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    PT7220
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    License Number State |    ME
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