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General NPI Number Information
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NPI Number | 1619412657
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Entity Type | Individual
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Provider Name | CHRISTOPHER LOWE
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Gender | Male
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Dates
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Enumeration Date | 12/29/2016
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Last Update Date | 07/15/2022
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Provider Practice Location Address
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Address Line | 2366 EASTLAKE AVE E STE 221
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City | SEATTLE
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State | WA
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Zip | 98102-6500
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Country | US
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Telephone | 574-265-1854
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Fax |
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Provider Business Mailing Address
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Address Line | 470 NE MAPLE LEAF PL APT 301
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City | SEATTLE
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State | WA
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Zip | 98115-5380
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Country | US
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Telephone | 574-265-1854
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 022546
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License Number State | NY
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