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General NPI Number Information
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NPI Number | 1144139304
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Entity Type | Individual
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Provider Name | OWEN MCKINNEY
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Gender | Male
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 126 LIBRARY LN
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City | MAMARONECK
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State | NY
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Zip | 10543-3608
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Country | US
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Telephone | 914-670-1155
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Fax |
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Provider Business Mailing Address
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Address Line | 996 ROYAL MARCO WAY
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City | MARCO ISLAND
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State | FL
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Zip | 34145-1829
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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 |
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 992204172
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License Number State | NY
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