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General NPI Number Information
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NPI Number | 1073834883
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Entity Type | Organization
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Legal Business Name | DAVID H OWEN MD PA
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Dates
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Enumeration Date | 06/15/2010
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Last Update Date | 06/15/2010
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Provider Practice Location Address
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Address Line | 2623 S SEACREST BLVD STE 108
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7531
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Country | US
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Telephone | 561-733-6565
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Fax | 561-369-2110
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Provider Business Mailing Address
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Address Line | 2623 S SEACREST BLVD STE 108
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7531
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Country | US
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Telephone | 561-733-6565
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Fax | 561-369-2110
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID H OWEN
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Credential | MD
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Telephone | 561-733-6565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number |
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License Number State |
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