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General NPI Number Information
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NPI Number | 1497047658
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Entity Type | Individual
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Provider Name | HEIDI LYNN LOWDER WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/06/2011
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Last Update Date | 12/18/2019
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Provider Practice Location Address
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Address Line | 2817 REILLY RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28310
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Country | US
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Telephone | 910-907-8102
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Fax | 910-907-8333
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Provider Business Mailing Address
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Address Line | 2817 REILLY RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28310
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Country | US
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Telephone | 910-907-8102
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Fax | 910-907-8333
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | APN17465RX
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 17465
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License Number State | SC
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