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General NPI Number Information
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NPI Number | 1467543561
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Entity Type | Organization
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Legal Business Name | THOMAS D LOWE, OD PC
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 07/07/2009
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Provider Practice Location Address
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Address Line | 301 S IOWA AVE
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City | WASHINGTON
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State | IA
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Zip | 52353-1747
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Country | US
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Telephone | 319-653-2371
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Fax | 319-653-6070
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Provider Business Mailing Address
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Address Line | 301 S IOWA AVE
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City | WASHINGTON
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State | IA
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Zip | 52353-1747
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Country | US
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Telephone | 319-653-2371
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Fax | 319-653-6070
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Authorized Official
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Title or Position | PRESIDENT OPTOMETRIST
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Name | MR. THOMAS D LOWE
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Credential | OD
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Telephone | 319-653-2371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1659
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License Number State | IA
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