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General NPI Number Information
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NPI Number | 1801050034
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Entity Type | Individual
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Provider Name | MS. CRISTINA LOWE
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Gender | Female
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Dates
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Enumeration Date | 07/16/2008
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Last Update Date | 07/16/2008
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Provider Practice Location Address
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Address Line | 1076 SANTO ANTONIO DR
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City | COLTON
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State | CA
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Zip | 92324-8103
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Country | US
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Telephone | 909-422-9824
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Fax | 909-433-9830
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Provider Business Mailing Address
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Address Line | 12145 WILLET AVE
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City | GRAND TERRACE
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State | CA
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Zip | 92313
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Country | US
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Telephone | 909-872-1164
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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