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General NPI Number Information
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NPI Number | 1811824816
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Entity Type | Individual
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Provider Name | BENJAMIN REX TEWHITI LOWRY PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 303 N CLYDE MORRIS BLVD
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-2709
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Country | US
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Telephone | 904-809-8080
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Fax | 904-809-8081
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Provider Business Mailing Address
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Address Line | 2563 PARK RIDGE ST
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City | APOPKA
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State | FL
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Zip | 32712-5230
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Country | US
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Telephone | 385-329-9723
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PY11486
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License Number State | FL
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