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General NPI Number Information
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NPI Number | 1659256444
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Entity Type | Individual
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Provider Name | ROBERT JAY LOWINGER LMSW
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Gender | Male
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Dates
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Enumeration Date | 08/09/2025
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Last Update Date | 08/09/2025
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Provider Practice Location Address
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Address Line | 1021 BAXTER ST STE A
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City | ATHENS
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State | GA
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Zip | 30606-6385
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Country | US
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Telephone | 706-225-9123
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Fax |
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Provider Business Mailing Address
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Address Line | 3422 FOREST VISTA DR
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City | DACULA
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State | GA
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Zip | 30019-4653
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Country | US
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Telephone | 678-889-2588
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | MSW012098
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License Number State | GA
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