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General NPI Number Information
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NPI Number | 1902888456
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Entity Type | Individual
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Provider Name | CLAYTON DAVID LOWE D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 12304 N MAY AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-1944
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Country | US
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Telephone | 405-669-3415
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Fax |
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Provider Business Mailing Address
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Address Line | 12304 N. MAY AVE
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City | WINTERSET
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State | OK
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Zip | 50273
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Country | US
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Telephone | 405-669-3415
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4623
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | A06193
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License Number State | IA
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