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General NPI Number Information
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NPI Number | 1619433216
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Entity Type | Organization
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Legal Business Name | SARAH LOWENTHAL, M.D., A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 02/19/2019
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Last Update Date | 02/19/2019
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Provider Practice Location Address
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Address Line | 655 REDWOOD HWY FRONTAGE RD STE 364
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City | MILL VALLEY
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State | CA
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Zip | 94941-3057
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Country | US
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Telephone | 415-569-4918
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Fax |
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Provider Business Mailing Address
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Address Line | 655 REDWOOD HWY FRONTAGE RD STE 364
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City | MILL VALLEY
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State | CA
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Zip | 94941-3057
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Country | US
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Telephone | 415-569-4918
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND OWNER
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Name | SARAH LOWENTHAL
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Credential | M.D.
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Telephone | 415-971-7824
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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 |
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