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General NPI Number Information
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NPI Number | 1639002637
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Entity Type | Individual
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Provider Name | DEVIN LOWRY
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Gender | Male
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 5475 S 500 E
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City | OGDEN
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State | UT
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Zip | 84405-6905
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Country | US
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Telephone | 801-479-2111
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Fax |
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Provider Business Mailing Address
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Address Line | 1418 E BEECHWOOD DR
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City | LAYTON
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State | UT
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Zip | 84040-2212
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Country | US
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Telephone | 801-814-9460
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 10964839-4406
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License Number State | UT
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