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General NPI Number Information
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NPI Number | 1144012790
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Entity Type | Individual
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Provider Name | WILLIAM STEVEN OWEN DDS
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Gender | Male
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 51 WILLIAM B GRAHAM CT
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City | KILMARNOCK
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State | VA
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Zip | 22482-3852
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Country | US
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Telephone | 804-435-0575
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Fax |
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Provider Business Mailing Address
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Address Line | 12235 PINYON LN
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City | RUTHER GLEN
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State | VA
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Zip | 22546-3548
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Country | US
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Telephone | 540-809-9539
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401419496
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License Number State | VA
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