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General NPI Number Information
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NPI Number | 1811576911
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Entity Type | Organization
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Legal Business Name | LOWT CLINIC
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Dates
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Enumeration Date | 04/06/2021
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Last Update Date | 01/23/2023
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Provider Practice Location Address
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Address Line | 6565 E CARONDELET DR STE 301
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City | TUCSON
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State | AZ
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Zip | 85710-2159
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Country | US
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Telephone | 520-548-4767
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Fax | 520-771-6870
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Provider Business Mailing Address
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Address Line | 5251 N VIA CONDESA
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City | TUCSON
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State | AZ
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Zip | 85718-4838
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DR. BRIAN SCOTT BURNETT
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Credential | DNP, APN, FNP-C
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Telephone | 865-686-2076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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