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General NPI Number Information
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NPI Number | 1659558831
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Entity Type | Individual
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Provider Name | JENNIFER VERA LOWRY
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Gender | Female
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Dates
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Enumeration Date | 01/30/2008
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Last Update Date | 01/30/2008
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Provider Practice Location Address
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Address Line | 16405 NORTHCROSS DR SUITE G-2
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-5091
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Country | US
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Telephone | 888-330-6907
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Fax |
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Provider Business Mailing Address
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Address Line | 6900 ROSWELL RD NE APT M4
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City | SANDY SPRINGS
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State | GA
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Zip | 30328-2217
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Country | US
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Telephone | 352-682-7252
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP006536
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2202005413
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License Number State | VA
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