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General NPI Number Information
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NPI Number | 1801052717
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Entity Type | Individual
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Provider Name | AUBREY ELIZABETH LOWRY M.C.D., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 07/30/2008
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 224 S LOCUST ST
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City | CENTRALIA
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State | IL
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Zip | 62801-3500
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Country | US
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Telephone | 618-532-4721
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Fax |
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Provider Business Mailing Address
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Address Line | 428 SHERWOOD LN
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City | SALEM
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State | IL
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Zip | 62881-2553
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Country | US
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Telephone | 618-339-1808
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 146009251
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License Number State | IL
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