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General NPI Number Information
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NPI Number | 1134538093
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Entity Type | Organization
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Legal Business Name | OWENS INTERVENTIONAL PAIN MANAGEMENT PLLC
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Dates
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Enumeration Date | 08/05/2014
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Last Update Date | 08/05/2014
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Provider Practice Location Address
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Address Line | 3841 SAGEBRIAR DR
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City | BRYAN
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State | TX
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Zip | 77802-6107
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Country | US
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Telephone | 979-774-1377
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Fax |
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Provider Business Mailing Address
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Address Line | 1511 TEXAS AVE S # 314
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City | COLLEGE STATION
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State | TX
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Zip | 77840-3328
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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 | PHYSICIAN
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Name | BRIAN OWENS
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Credential | MD
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Telephone | 979-774-1377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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