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General NPI Number Information
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NPI Number | 1114447851
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Entity Type | Individual
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Provider Name | JANE S OWEN LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/23/2017
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Last Update Date | 06/23/2017
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Provider Practice Location Address
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Address Line | 955 W CHESTNUT ST APT 5
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City | WASHINGTON
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State | PA
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Zip | 15301-4669
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Country | US
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Telephone | 724-206-9558
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Fax |
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Provider Business Mailing Address
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Address Line | 445 TIMBER LAKE RD
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City | CLAYSVILLE
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State | PA
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Zip | 15323-1325
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Country | US
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Telephone | 724-206-9558
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Fax | 724-993-4052
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW019399
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License Number State | PA
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