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NPI 1992778005

NPI 1992778005 : ELIZABETH JEAN LOW M.D. : BREWTON, AL

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General NPI Number Information
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    NPI Number           |    1992778005
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    Entity Type          |    Individual 
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    Provider Name        |    ELIZABETH JEAN LOW M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/09/2006
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    Last Update Date     |    11/15/2021
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Provider Practice Location Address
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    Address Line         |    1121 BELLEVILLE AVE 
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    City                 |    BREWTON
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    State                |    AL
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    Zip                  |    36426-1505
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    Country              |    US
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    Telephone            |    251-809-3150
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    Fax                  |    251-809-3155
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Provider Business Mailing Address
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    Address Line         |    PO BOX 648 
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    City                 |    BREWTON
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    State                |    AL
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    Zip                  |    36427-0648
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    Country              |    US
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    Telephone            |    251-809-3150
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    Fax                  |    251-809-3155
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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       |    11297
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    License Number State |    AL
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