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General NPI Number Information
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NPI Number | 1669413738
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Entity Type | Individual
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Provider Name | DOLORES KATHLEEN LOWE MD
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Gender | Female
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 10/24/2011
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Provider Practice Location Address
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Address Line | 713 SOUTH PINELLAS AVE, SUITE A-1 TARPON SPRINGS PRIMARY CARE CENTER MANATEE VILLAGE SHOP
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City | TARPON SPRINGS
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State | FL
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Zip | 34689-3709
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Country | US
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Telephone | 727-935-0200
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Fax | 727-935-0201
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Provider Business Mailing Address
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Address Line | 10051 5TH ST N SUITE 200 - JSA HEALTHCARE
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City | ST PETERSBURG
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State | FL
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Zip | 33702-2289
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Country | US
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Telephone | 727-824-0780
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Fax | 727-568-6011
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME0076211
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME76211
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License Number State | FL
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