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General NPI Number Information
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NPI Number | 1184032211
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Entity Type | Organization
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Legal Business Name | OWEN PSYCHOLOGY
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Dates
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Enumeration Date | 08/01/2014
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Last Update Date | 08/01/2014
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Provider Practice Location Address
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Address Line | 4425 MOPAC SOUTH BLDG 3, SUITE 505
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City | AUSTIN
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State | TX
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Zip | 78735
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Country | US
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Telephone | 832-421-4968
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Fax |
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Provider Business Mailing Address
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Address Line | 4608 ARAPAHOE TRL
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City | AUSTIN
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State | TX
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Zip | 78745-1510
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Country | US
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Telephone | 832-421-4968
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | APRIL OWEN
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Credential | PSY.D.
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Telephone | 832-421-4968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 34353
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License Number State | TX
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