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General NPI Number Information
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NPI Number | 1417128992
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Entity Type | Organization
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Legal Business Name | ZACHTON J LOWE DDS MSD PS
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Dates
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Enumeration Date | 03/12/2008
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Last Update Date | 01/18/2017
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Provider Practice Location Address
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Address Line | 721 N 182ND ST SUITE 303
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City | SHORELINE
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State | WA
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Zip | 98133-4400
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Country | US
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Telephone | 206-542-7575
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Fax | 206-542-5552
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Provider Business Mailing Address
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Address Line | 721 N 182ND ST SUITE 303
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City | SHORELINE
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State | WA
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Zip | 98133-4400
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Country | US
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Telephone | 206-542-7575
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Fax | 206-542-5552
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Authorized Official
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Title or Position | ORTHODONTIST OWNER
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Name | DR. ZACHTON J LOWE
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Credential | DDS MSD
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Telephone | 206-542-7575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 3888
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License Number State | WA
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