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General NPI Number Information
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NPI Number | 1740814813
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Entity Type | Organization
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Legal Business Name | ROXANNE LOWENGUTH DDS,MS,PLLC
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Dates
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Enumeration Date | 02/27/2020
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Last Update Date | 02/27/2020
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Provider Practice Location Address
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Address Line | 2109 S CLINTON AVE STE 200
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City | ROCHESTER
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State | NY
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Zip | 14618-2615
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Country | US
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Telephone | 585-756-5566
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Fax | 585-756-5567
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Provider Business Mailing Address
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Address Line | 2109 S CLINTON AVE STE 200
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City | ROCHESTER
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State | NY
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Zip | 14618-2615
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Country | US
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Telephone | 585-756-5566
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Fax | 585-756-5567
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | DIANE LUCIE SKWIRZ
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Credential |
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Telephone | 585-756-5566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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