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General NPI Number Information
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NPI Number | 1942231220
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Entity Type | Individual
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Provider Name | LOWELL B KOPPEL MD
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Gender | Male
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 01/11/2011
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Provider Practice Location Address
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Address Line | 751 HEBRON PKWY STE 100
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City | LEWISVILLE
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State | TX
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Zip | 75057-5002
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Country | US
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Telephone | 972-459-2386
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Fax | 972-459-2392
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Provider Business Mailing Address
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Address Line | 751 HEBRON PKWY STE 100
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City | LEWISVILLE
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State | TX
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Zip | 75057-5002
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Country | US
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Telephone | 972-459-2386
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Fax | 972-459-2392
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | L5420
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License Number State | TX
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