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General NPI Number Information
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NPI Number | 1447623467
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Entity Type | Individual
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Provider Name | JORDAN LOWY L.AC.
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Gender | Male
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Dates
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Enumeration Date | 11/12/2015
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Last Update Date | 11/12/2015
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Provider Practice Location Address
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Address Line | 3490 20TH ST 3RD FLOOR
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-2582
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Country | US
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Telephone | 415-359-8532
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Fax |
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Provider Business Mailing Address
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Address Line | 1126 GUERRERO ST APT 1
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-2975
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Country | US
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Telephone | 415-642-5683
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC16426
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License Number State | CA
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