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General NPI Number Information
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NPI Number | 1134930555
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Entity Type | Organization
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Legal Business Name | OWHEN'S BOX INC.
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Dates
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Enumeration Date | 01/15/2025
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 6 N 5TH ST
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City | DEER PARK
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State | NY
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Zip | 11729-3220
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Country | US
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Telephone | 631-223-8893
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Fax |
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Provider Business Mailing Address
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Address Line | 6 N 5TH ST
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City | DEER PARK
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State | NY
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Zip | 11729-3220
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Country | US
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Telephone | 619-227-6332
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AUDREY ANDALUZ
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Credential |
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Telephone | 631-223-8893
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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