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General NPI Number Information
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NPI Number | 1043338015
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Entity Type | Individual
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Provider Name | SUSAN OWENS M.S.
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Gender | Female
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 437 LEWIS HARGETT CIR STE 120
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City | LEXINGTON
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State | KY
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Zip | 40503-1384
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Country | US
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Telephone | 859-219-0956
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Fax |
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Provider Business Mailing Address
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Address Line | 3492 LANNETTE LN
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City | LEXINGTON
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State | KY
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Zip | 40503-4131
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Country | US
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Telephone | 859-296-2692
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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 | 2329
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License Number State | KY
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