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General NPI Number Information
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NPI Number | 1760290654
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Entity Type | Individual
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Provider Name | KAYLIE LOWERY
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Gender | Female
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Dates
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Enumeration Date | 12/23/2024
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 1950 SILVERLEAF CIR
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City | CARLSBAD
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State | CA
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Zip | 92009-8410
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Country | US
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Telephone | 760-704-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 1005 ARMORLITE DR APT 215
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City | SAN MARCOS
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State | CA
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Zip | 92069-1646
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Country | US
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Telephone | 408-710-6442
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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