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General NPI Number Information
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NPI Number | 1285080432
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Entity Type | Individual
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Provider Name | REBECCA STEVENSON LOWRY PH.D
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Gender | Female
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Dates
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Enumeration Date | 05/06/2016
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Last Update Date | 05/06/2016
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Provider Practice Location Address
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Address Line | 336 ELM ST LONDON HIGH SCHOOL
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City | LONDON
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State | OH
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Zip | 43140-9220
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Country | US
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Telephone | 740-852-5705
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Fax |
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Provider Business Mailing Address
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Address Line | 4051 DANERN DR BEAVERCREEK
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City | BEAVERCREEK
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State | OH
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Zip | 45430-2039
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Country | US
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Telephone | 937-307-4869
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 21119961
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License Number State | OH
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