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General NPI Number Information
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NPI Number | 1568509115
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Entity Type | Individual
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Provider Name | KATHY S. LOWE RDH
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Gender | Female
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10317 E BURNSIDE ST 2ND FLOOR
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City | PORTLAND
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State | OR
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Zip | 97216-2733
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Country | US
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Telephone | 503-988-3905
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Fax | 503-988-6240
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Provider Business Mailing Address
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Address Line | PO BOX 170
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City | CORBETT
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State | OR
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Zip | 97019-0170
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Country | US
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Telephone | 503-253-0426
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Fax |
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | H1206
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 7614
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License Number State | CA
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