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General NPI Number Information
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NPI Number | 1366860694
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Entity Type | Individual
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Provider Name | ERIN LOWE HEURING MD
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Gender | Female
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Dates
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Enumeration Date | 04/03/2014
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Last Update Date | 08/22/2018
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Provider Practice Location Address
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Address Line | 4204 W SYLVANIA AVE STE 100
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City | TOLEDO
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State | OH
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Zip | 43623
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Country | US
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Telephone | 567-225-3407
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Fax | 567-225-3408
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Provider Business Mailing Address
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Address Line | 2200 JEFFERSON AVE FL 5
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City | TOLEDO
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State | OH
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Zip | 43604-7102
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 35133304
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License Number State | OH
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