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General NPI Number Information
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NPI Number | 1013324805
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Entity Type | Organization
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Legal Business Name | PATRICIA OWENS
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Dates
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Enumeration Date | 07/14/2014
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Last Update Date | 07/14/2014
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Provider Practice Location Address
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Address Line | 7048 SE MILWAUKIE AVE
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City | PORTLAND
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State | OR
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Zip | 97202-5719
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Country | US
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Telephone | 503-236-0211
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Fax | 503-236-1009
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Provider Business Mailing Address
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Address Line | 7048 SE MILWAUKIE AVE
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City | PORTLAND
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State | OR
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Zip | 97202-5719
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Country | US
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Telephone | 503-236-0211
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Fax | 503-236-1009
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Authorized Official
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Title or Position | OWNER
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Name | PATRICIA ANNE OWENS
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Credential |
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Telephone | 503-236-0211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC00505
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License Number State | OR
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