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General NPI Number Information
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NPI Number | 1407997786
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Entity Type | Organization
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Legal Business Name | NORTH HILLS PODIATRY
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 07/13/2010
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Provider Practice Location Address
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Address Line | 10900 PERRY HWY
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City | WEXFORD
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State | PA
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Zip | 15090-8370
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Country | US
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Telephone | 724-935-5533
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Fax | 724-935-5890
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Provider Business Mailing Address
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Address Line | 10900 PERRY HWY
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City | WEXFORD
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State | PA
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Zip | 15090-8370
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Country | US
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Telephone | 724-935-5533
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Fax | 724-935-5890
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Authorized Official
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Title or Position | OWNER
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Name | DR. CLINTON R LOWERY
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Credential | DPM
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Telephone | 724-935-5533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | SC002876-L
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License Number State | PA
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