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General NPI Number Information
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NPI Number | 1508624289
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Entity Type | Individual
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Provider Name | CHELSEA LOWE OD
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Gender | Female
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Dates
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Enumeration Date | 03/07/2024
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 4564 S SUNCOAST BLVD
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City | HOMOSASSA
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State | FL
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Zip | 34446-1103
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Country | US
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Telephone | 352-628-3029
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Fax | 352-628-6377
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Provider Business Mailing Address
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Address Line | 3636 N LECANTO HWY
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City | BEVERLY HILLS
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State | FL
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Zip | 34465-3513
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Country | US
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Telephone | 352-746-0800
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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 | OPC6692
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License Number State | FL
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