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General NPI Number Information
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NPI Number | 1316478159
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Entity Type | Individual
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Provider Name | BRIAUNA MARIE LOWERY MPH
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Gender | Female
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Dates
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Enumeration Date | 03/23/2017
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 800 PRUDENTIAL DR
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City | JACKSONVILLE
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State | FL
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Zip | 32207-8211
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Country | US
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Telephone | 904-202-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 15195 CYPRESS CAY BLVD
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City | LUTZ
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State | FL
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Zip | 33559-7010
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Country | US
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Telephone | 281-309-2118
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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 | 207PP0204X
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Taxonomy Name | Pediatric Emergency Medicine (Emergency Medicine) Physician
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License Number | ME146809
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License Number State | FL
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