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General NPI Number Information
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NPI Number | 1508612862
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Entity Type | Individual
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Provider Name | MELISSA SIU LOWE
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Gender | Female
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Dates
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Enumeration Date | 04/27/2024
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 4299 ROSEWOOD DR
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City | PLEASANTON
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State | CA
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Zip | 94588-3001
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Country | US
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Telephone | 925-416-1888
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Fax |
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Provider Business Mailing Address
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Address Line | 318 LIVINGSTONE CRT NW
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City | EDMONTON
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State | ALBERTA
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Zip | T6R2T1
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Country | CA
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Telephone |
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Fax |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT35697-TLG
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License Number State | CA
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