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General NPI Number Information
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NPI Number | 1407266547
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Entity Type | Organization
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Legal Business Name | LOWDEL HOMECARE LLC
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Dates
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Enumeration Date | 04/29/2014
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Last Update Date | 04/29/2014
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Provider Practice Location Address
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Address Line | 201 ROCK RD SUITE 214
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City | GLEN ROCK
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State | NJ
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Zip | 07452-1746
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Country | US
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Telephone | 201-345-3398
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Fax | 201-345-3449
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Provider Business Mailing Address
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Address Line | 201 ROCK RD SUITE 214
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City | GLEN ROCK
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State | NJ
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Zip | 07452-1746
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Country | US
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Telephone | 201-345-3398
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Fax | 201-345-3449
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Authorized Official
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Title or Position | OWNER
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Name | MR. BOYD A LOWRY
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Credential |
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Telephone | 201-345-3398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HP0174700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number | HP0174700
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | HP0174700
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License Number State | NJ
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