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General NPI Number Information
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NPI Number | 1609064237
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Entity Type | Organization
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Legal Business Name | FAMILY MEDICAL SPECIALISTS OF PLANT CITY
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 12/20/2007
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Provider Practice Location Address
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Address Line | 1708 PALMETTO AVE
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City | PLANT CITY
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State | FL
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Zip | 33563-7238
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Country | US
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Telephone | 813-754-6700
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Fax | 813-754-6776
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Provider Business Mailing Address
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Address Line | 1708 PALMETTO AVE
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City | PLANT CITY
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State | FL
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Zip | 33563-7238
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Country | US
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Telephone | 813-754-6700
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Fax | 813-754-6776
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Authorized Official
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Title or Position | OWNER
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Name | DR. DOLORES K LOWE
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Credential | MD
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Telephone | 813-754-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | FL
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