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General NPI Number Information
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NPI Number | 1306359252
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Entity Type | Individual
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Provider Name | STEFANIE JOY LOWE DC, MS
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Gender | Female
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Dates
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Enumeration Date | 11/14/2017
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Last Update Date | 11/14/2017
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Provider Practice Location Address
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Address Line | 102 E 2ND ST UNIT 3
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City | THE DALLES
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State | OR
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Zip | 97058-1733
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Country | US
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Telephone | 971-344-4208
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Fax |
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Provider Business Mailing Address
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Address Line | 1706 AVALON DR UNIT 20
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City | HOOD RIVER
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State | OR
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Zip | 97031-9585
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Country | US
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Telephone | 971-344-4208
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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 | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 5863
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5863
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License Number State | OR
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