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General NPI Number Information
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NPI Number | 1700924214
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Entity Type | Organization
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Legal Business Name | LOWMAN CHIROPRACTIC PC
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 12/12/2011
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Provider Practice Location Address
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Address Line | 934 N AUGUSTA ST
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City | STAUNTON
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State | VA
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Zip | 24401-3215
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Country | US
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Telephone | 540-886-5500
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Fax | 540-886-4600
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Provider Business Mailing Address
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Address Line | PO BOX 3293
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City | STAUNTON
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State | VA
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Zip | 24402-3293
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Country | US
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Telephone | 540-886-5500
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Fax | 540-886-4600
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | MR. RONALD DAVID LOWMAN JR.
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Credential | DC
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Telephone | 540-886-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104001890
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License Number State | VA
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