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General NPI Number Information
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NPI Number | 1972995348
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Entity Type | Individual
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Provider Name | ANN LOWERY M.A. CCC SLP
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Gender | Female
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Dates
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Enumeration Date | 02/23/2015
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Last Update Date | 02/23/2015
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Provider Practice Location Address
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Address Line | 6227 BLACK CINDER CT
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City | SPARKS
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State | NV
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Zip | 89436-7021
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Country | US
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Telephone | 575-993-2377
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Fax |
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Provider Business Mailing Address
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Address Line | 6227 BLACK CINDER CT
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City | SPARKS
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State | NV
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Zip | 89436-7021
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Country | US
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Telephone | 575-993-2377
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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 | SP-1727
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 5533
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License Number State | NM
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