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General NPI Number Information
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NPI Number | 1487978334
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Entity Type | Organization
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Legal Business Name | VICKIE C. LOWE, M.D., PSC
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Dates
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Enumeration Date | 03/22/2010
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Last Update Date | 06/25/2010
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Provider Practice Location Address
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Address Line | 134 HEARTLAND DR
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-2778
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Country | US
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Telephone | 270-769-3100
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Fax | 270-234-0753
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Provider Business Mailing Address
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Address Line | 134 HEARTLAND DR
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-2778
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Country | US
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Telephone | 270-769-3100
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Fax | 270-234-0753
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Authorized Official
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Title or Position | OWNER
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Name | DR. VICKIE CAROL LOWE
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Credential | M.D.
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Telephone | 270-769-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 27635
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License Number State | KY
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