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General NPI Number Information
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NPI Number | 1578109955
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Entity Type | Individual
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Provider Name | NATALIE LOWE
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Gender | Female
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Dates
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Enumeration Date | 11/21/2019
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 3165 BLACKLOG RD STE A
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City | INEZ
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State | KY
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Zip | 41224-9113
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Country | US
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Telephone | 606-534-4002
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Fax | 606-534-4007
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Provider Business Mailing Address
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Address Line | P.O. BOX 390 HUNTINGTON
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City | 25708
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State | WV
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Zip | 25701-0390
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Country | US
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Telephone | 304-429-1088
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1151392
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4021141
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License Number State | KY
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