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General NPI Number Information
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NPI Number | 1538381140
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Entity Type | Organization
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Legal Business Name | AMY K. LOWERY, D.O. LLC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 15613 PINEVIEW DR SUITE A
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City | EAST LIVERPOOL
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State | OH
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Zip | 43920-9667
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Country | US
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Telephone | 330-385-9670
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Fax |
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Provider Business Mailing Address
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Address Line | 40330 KELLY PARK RD
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City | LEETONIA
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State | OH
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Zip | 44431-9639
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Country | US
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Telephone | 330-327-3533
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Fax |
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Authorized Official
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Title or Position | EMPLOYER
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Name | DR. AMY KATHLEEN SHANNON
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Credential | D.O.
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Telephone | 330-327-3522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 34007656
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License Number State | OH
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