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General NPI Number Information
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NPI Number | 1730986381
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Entity Type | Individual
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Provider Name | DESTINY LOWMAN LCSWA
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Gender | Female
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 13926 HULL STREET RD # 1058
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City | MIDLOTHIAN
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State | VA
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Zip | 23112-2004
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Country | US
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Telephone | 540-940-7331
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Fax |
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Provider Business Mailing Address
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Address Line | 129 PETERBOROUGH DR
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City | MOORESVILLE
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State | NC
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Zip | 28115-8500
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P021817
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | P021817
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License Number State | NC
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