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General NPI Number Information
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NPI Number | 1013335850
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Entity Type | Individual
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Provider Name | JACK HOWELL OWENS JR. M.D
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Gender | Male
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Dates
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Enumeration Date | 03/30/2014
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Last Update Date | 09/12/2019
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Provider Practice Location Address
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Address Line | 1100 9TH AVE
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City | SEATTLE
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State | WA
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Zip | 98101
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Country | US
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Telephone | 206-223-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 9TH AVE M4-PFS
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City | SEATTLE
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State | WA
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Zip | 98101-2756
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Country | US
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Telephone | 206-515-5811
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD60937370
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License Number State | WA
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