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General NPI Number Information
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NPI Number | 1558699504
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Entity Type | Organization
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Legal Business Name | LOWELL D. MEYERSON DO, PC
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Dates
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Enumeration Date | 12/03/2009
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Last Update Date | 08/05/2014
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Provider Practice Location Address
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Address Line | 50 TOWNSHIP LINE RD SUITE G02
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City | ELKINS PARK
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State | PA
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Zip | 19027-2249
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Country | US
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Telephone | 215-379-0444
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Fax | 215-663-1359
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Provider Business Mailing Address
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Address Line | 50 TOWNSHIP LINE RD SUITE G02
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City | ELKINS PARK
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State | PA
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Zip | 19027-2249
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Country | US
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Telephone | 215-379-0444
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Fax | 215-663-1359
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. JOYCE D OWENS
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Credential |
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Telephone | 215-379-0710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number |
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License Number State |
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