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General NPI Number Information
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NPI Number | 1588956866
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Entity Type | Organization
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Legal Business Name | JAMES R LOW, JR., M.D.,P.A.
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Dates
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Enumeration Date | 05/05/2011
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Last Update Date | 07/30/2021
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Provider Practice Location Address
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Address Line | 105 TOBY LANE
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City | JACKSONVILLE
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State | TX
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Zip | 75766-2462
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Country | US
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Telephone | 903-586-3505
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Fax |
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Provider Business Mailing Address
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Address Line | 105 TOBY LANE
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City | JACKSONVILLE
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State | TX
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Zip | 75766-2462
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Country | US
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Telephone | 903-586-3505
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAMES R LOW JR.
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Credential | M.D.
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Telephone | 903-586-3505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | H6390
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License Number State | TX
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