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General NPI Number Information
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NPI Number | 1609644913
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Entity Type | Individual
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Provider Name | MARY HOOD LOWE PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/15/2023
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Last Update Date | 12/15/2023
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Provider Practice Location Address
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Address Line | 5373 E MAIN ST
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City | HILLSBORO
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State | OR
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Zip | 97123-6447
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Country | US
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Telephone | 800-813-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 1750 N JONES BLVD APT 5
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City | NORTH LIBERTY
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State | IA
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Zip | 52317-8825
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Country | US
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Telephone | 515-344-7433
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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