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General NPI Number Information
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NPI Number | 1740537828
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Entity Type | Individual
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Provider Name | DOUGLAS RONALD LOWY M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/08/2012
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Last Update Date | 08/08/2012
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Provider Practice Location Address
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Address Line | 31 CENTER DRIVE BLDG. 31, RM. 11A28
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City | BETHESDA
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State | MD
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Zip | 20852
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Country | US
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Telephone | 301-827-5699
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Fax | 301-435-2396
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Provider Business Mailing Address
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Address Line | 31 CENTER DRIVE BLDG. 31, RM. 11A28
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City | BETHESDA
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State | MD
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Zip | 20852
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Country | US
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Telephone | 301-827-5699
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Fax | 301-435-2396
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 118955-1
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License Number State | NY
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