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General NPI Number Information
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NPI Number | 1679235683
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Entity Type | Individual
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Provider Name | BRANDON SCOTT LOWIS PA-C
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Gender | Male
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Dates
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Enumeration Date | 10/07/2021
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Last Update Date | 03/30/2025
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Provider Practice Location Address
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Address Line | 2133 E WARNER RD STE 2133
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City | TEMPE
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State | AZ
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Zip | 85284-3492
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Country | US
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Telephone | 480-636-1417
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Fax |
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Provider Business Mailing Address
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Address Line | 2133 E WARNER RD STE 103
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City | TEMPE
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State | AZ
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Zip | 85284-3492
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Country | US
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Telephone | 480-636-1417
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA-2771
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 9790
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License Number State | AZ
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