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General NPI Number Information
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NPI Number | 1639352412
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Entity Type | Organization
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Legal Business Name | CHARLES E LOWREY MD, INC
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Dates
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Enumeration Date | 12/14/2007
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Last Update Date | 12/14/2007
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Provider Practice Location Address
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Address Line | 2405 N COLUMBUS ST SUITE 220
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City | LANCASTER
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State | OH
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Zip | 43130-8185
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Country | US
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Telephone | 740-687-0091
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Fax | 740-687-1603
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Provider Business Mailing Address
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Address Line | 2405 N COLUMBUS ST SUITE 220
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City | LANCASTER
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State | OH
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Zip | 43130-8185
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Country | US
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Telephone | 740-687-0091
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Fax | 740-687-1603
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHARLES EDWARD LOWREY
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Credential | M.D.
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Telephone | 740-687-0091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 35050265
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License Number State | OH
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