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NPI 1679059406

NPI 1679059406 : JOSHUA LOWE DO : COWETA, OK

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General NPI Number Information
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    NPI Number           |    1679059406
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    Entity Type          |    Individual 
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    Provider Name        |    JOSHUA LOWE DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/15/2018
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    Last Update Date     |    01/28/2025
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Provider Practice Location Address
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    Address Line         |    31870 E STATE HIGHWAY 51 
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    City                 |    COWETA
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    State                |    OK
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    Zip                  |    74429-7900
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    Country              |    US
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    Telephone            |    918-279-3200
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    Fax                  |    918-279-1118
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Provider Business Mailing Address
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    Address Line         |    31870 E STATE HIGHWAY 51 
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    City                 |    COWETA
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    State                |    OK
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    Zip                  |    74429-7900
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    Country              |    US
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    Telephone            |    918-279-3200
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    Fax                  |    918-279-1118
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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       |    6700
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    License Number State |    OK
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