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General NPI Number Information
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NPI Number | 1578009510
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Entity Type | Organization
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Legal Business Name | ELICIA K LOWITZ, PA
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Dates
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Enumeration Date | 01/15/2017
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Last Update Date | 01/15/2017
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Provider Practice Location Address
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Address Line | 12555 ORANGE DR SUITE 265
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City | DAVIE
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State | FL
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Zip | 33330-4304
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Country | US
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Telephone | 954-243-3324
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Fax |
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Provider Business Mailing Address
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Address Line | 12555 ORANGE DR SUITE 265
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City | DAVIE
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State | FL
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Zip | 33330-4304
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Country | US
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Telephone | 954-243-3324
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Fax |
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Authorized Official
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Title or Position | OWNER / THERAPIST
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Name | ELICIA LOWITZ
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Credential | LMHC
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Telephone | 954-862-1427
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH003315
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License Number State | FL
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