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1114588910 NPI number — ROBERT CHANNING OWENS M.S.

NPI Number: 1114588910
Health Care Provider/Practitioner: ROBERT CHANNING OWENS M.S.

Information about “1114588910” NPI (ROBERT CHANNING OWENS M.S.) exists in 1114588910 in HTML format HTML  |  1114588910 in plain Text format TXT  |  1114588910 in PDF (Portable Document Format) PDF  |  1114588910 in an XML format XML  formats.

NPI Number : 1114588910 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114588910",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OWENS",
    "FirstName": "ROBERT",
    "MiddleName": "CHANNING",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "M.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "OWENS",
    "OtherFirstName": "ROBERT",
    "OtherMiddleName": "CHANNING",
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": null,
    "OtherCredential": "ROBERT C. OWENS M.S.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "7547 S WOLCOTT AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60620-5206",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "708-646-6997",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7547 S WOLCOTT AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60620-5206",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "708-646-6997",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/24/2019",
    "LastUpdateDate": "06/24/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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