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NPI 1184415101

NPI 1184415101 : CHRISTIAN J OWENS : BLACKLICK, OH

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General NPI Number Information
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    NPI Number           |    1184415101
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTIAN J OWENS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/16/2025
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    Last Update Date     |    07/15/2025
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Provider Practice Location Address
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    Address Line         |    2847 KEANNEN ST 
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    City                 |    BLACKLICK
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    State                |    OH
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    Zip                  |    43004-6027
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    Country              |    US
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    Telephone            |    614-783-1435
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2847 KEANNEN ST 
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    City                 |    BLACKLICK
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    State                |    OH
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    Zip                  |    43004-6027
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    Country              |    US
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    Telephone            |    614-783-1435
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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        |    172A00000X
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    Taxonomy Name        |    Driver
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    252Y00000X
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    Taxonomy Name        |    Early Intervention Provider Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    372600000X
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    Taxonomy Name        |    Adult Companion
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    385H00000X
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    Taxonomy Name        |    Respite Care
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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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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