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General NPI Number Information
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NPI Number | 1306222922
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Entity Type | Individual
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Provider Name | CHRISTINA LOWRY
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Gender | Female
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Dates
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Enumeration Date | 08/05/2015
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 785 S 2ND ST
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City | DEFUNIAK SPRINGS
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State | FL
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Zip | 32435-4903
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Country | US
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Telephone | 850-892-2176
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Fax | 850-892-0781
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Provider Business Mailing Address
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Address Line | 12201 BLUEGRASS PKWY
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City | LOUISVILLE
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State | KY
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Zip | 40299-2361
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Country | US
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Telephone | 502-568-7364
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Fax | 502-568-7136
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP9415648
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License Number State | FL
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