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General NPI Number Information
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NPI Number | 1285881854
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Entity Type | Individual
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Provider Name | NICHOLAS JAMES LOWERY DPM
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Gender | Male
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Dates
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Enumeration Date | 08/26/2008
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Last Update Date | 08/26/2008
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Provider Practice Location Address
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Address Line | 2000 MARY ST
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City | PITTSBURGH
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State | PA
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Zip | 15203-2054
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Country | US
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Telephone | 412-488-5550
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Fax | 412-488-5564
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Provider Business Mailing Address
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Address Line | 6315 OYSTER BAY CT
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City | BRIDGEVILLE
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State | PA
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Zip | 15017-3468
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Country | US
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Telephone |
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | SC005953
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License Number State | PA
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