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General NPI Number Information
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NPI Number | 1518932888
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Entity Type | Individual
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Provider Name | MARY CATHERINE LOWDERMILK MD
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Gender | Female
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 08/24/2007
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Provider Practice Location Address
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Address Line | 6420 CLAYTON RD
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City | SAINT LOUIS
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State | MO
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Zip | 63117-1811
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Country | US
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Telephone | 314-768-8250
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Fax |
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Provider Business Mailing Address
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Address Line | 4 SUNNEN DR SUITE 120
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City | SAINT LOUIS
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State | MO
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Zip | 63143-3814
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Country | US
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Telephone | 314-646-1028
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Fax | 314-781-4167
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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 | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | 11893
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License Number State | MO
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