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General NPI Number Information
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NPI Number | 1114446887
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Entity Type | Individual
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Provider Name | STEPHANIE OWINGS MA, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 09/14/2017
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Last Update Date | 08/04/2020
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Provider Practice Location Address
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Address Line | 111 2ND AVE NE STE 900
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City | ST PETERSBURG
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State | FL
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Zip | 33701-3434
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Country | US
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Telephone | 813-690-1327
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 518
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City | CHATEAUGAY
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State | NY
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Zip | 12920-0518
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Country | US
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Telephone |
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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 |
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License Number State |
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