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General NPI Number Information
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NPI Number | 1710984414
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Entity Type | Individual
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Provider Name | PATRICIA A LOWERY NDT CRTT
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Gender | Female
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1115D HILLCREST PKWY
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City | DUBLIN
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State | GA
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Zip | 31021-3555
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Country | US
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Telephone | 478-274-1653
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Fax | 478-274-0895
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Provider Business Mailing Address
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Address Line | 1115D HILLCREST PKWY
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City | DUBLIN
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State | GA
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Zip | 31021-3555
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Country | US
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Telephone | 478-274-1653
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Fax | 478-274-0895
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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 | 227800000X
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Taxonomy Name | Certified Respiratory Therapist
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License Number | 004224
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License Number State | GA
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