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General NPI Number Information
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NPI Number | 1497741292
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Entity Type | Individual
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Provider Name | GINA LOWY PA
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Gender | Female
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Dates
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Enumeration Date | 09/27/2005
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 1601 CLINT MOORE RD STE 170
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City | BOCA RATON
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State | FL
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Zip | 33487-5713
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Country | US
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Telephone | 561-939-0900
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Fax | 561-939-5915
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Provider Business Mailing Address
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Address Line | 900 NW 13TH ST STE 206
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City | BOCA RATON
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State | FL
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Zip | 33486-2350
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Country | US
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Telephone | 561-338-3267
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Fax | 561-391-4420
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9102526
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License Number State | FL
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