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General NPI Number Information
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NPI Number | 1558348425
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Entity Type | Individual
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Provider Name | PHILIP DALE LOWRY MD
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Gender | Male
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Dates
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Enumeration Date | 12/30/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2080 CHAMBLISS AVE SUITE 1
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City | CLEVELAND
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State | TN
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Zip | 37311-3894
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Country | US
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Telephone | 423-472-6513
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Fax | 423-476-2062
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Provider Business Mailing Address
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Address Line | PO BOX 11225
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City | CHATTANOOGA
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State | TN
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Zip | 37401-2225
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Country | US
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Telephone | 423-892-5602
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Fax | 423-892-5838
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD28789
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License Number State | TN
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