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General NPI Number Information
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NPI Number | 1538542675
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Entity Type | Organization
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Legal Business Name | NOAH LOWMAN PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 07/07/2015
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Last Update Date | 07/07/2015
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Provider Practice Location Address
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Address Line | 5553 W PICO BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90019-3919
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Country | US
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Telephone | 310-383-5752
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Fax |
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Provider Business Mailing Address
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Address Line | 901 N BEAUDRY AVE
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City | LOS ANGELES
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State | CA
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Zip | 90012-1308
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. NOAH CHRISTOPHER LOWMAN
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Credential | MPT
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Telephone | 310-383-5752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 42511
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License Number State | CA
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