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General NPI Number Information
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NPI Number | 1447218557
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Entity Type | Individual
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Provider Name | LOWELL D MEYERSON DO
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Gender | Male
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 50 E TOWNSHIP LINE RD STE 226
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City | ELKINS PARK
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State | PA
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Zip | 19027
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Country | US
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Telephone | 215-379-6444
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Fax |
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Provider Business Mailing Address
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Address Line | 50 TOWNSHIP LINE RD STE 226
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City | ELKINS PARK
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State | PA
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Zip | 19027-2249
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Country | US
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Telephone | 215-379-0444
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Fax | 215-663-1359
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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 | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | OS005245L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 25MB04161500
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | OS8396
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License Number State | FL
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