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General NPI Number Information
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NPI Number | 1467474049
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Entity Type | Individual
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Provider Name | RAJENDRA LOWTAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 06/20/2023
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Provider Practice Location Address
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Address Line | 77 E MAIN ST STE 215-217
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City | WESTMINSTER
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State | MD
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Zip | 21157-5037
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Country | US
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Telephone | 410-940-3254
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Fax | 410-531-2972
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Provider Business Mailing Address
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Address Line | 420 CHINQUAPIN ROUND RD STE 2K&2L
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City | ANNAPOLIS
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State | MD
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Zip | 21401-4006
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Country | US
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Telephone | 410-990-1811
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Fax | 410-531-2972
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D0058483
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License Number State | MD
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