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General NPI Number Information
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NPI Number | 1750067872
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Entity Type | Individual
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Provider Name | ABBIE JO LOWTHER FNP
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Gender | Female
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Dates
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Enumeration Date | 06/23/2023
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Last Update Date | 06/23/2023
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Provider Practice Location Address
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Address Line | 376 HWY 5E
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City | GLENVILLE
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State | WV
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Zip | 26351
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Country | US
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Telephone | 304-462-7322
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Fax |
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Provider Business Mailing Address
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Address Line | 612 KLIENS RUN RD
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City | ALUM BRIDGE
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State | WV
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Zip | 26321-9631
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Country | US
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Telephone | 304-476-0356
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 116228
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 116228
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License Number State | WV
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