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General NPI Number Information
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NPI Number | 1184841298
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Entity Type | Organization
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Legal Business Name | BESSIE OWENS D.O. ,P.A.
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 03/28/2008
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Provider Practice Location Address
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Address Line | 9500 LAKEVIEW PKWY # 300
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City | ROWLETT
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State | TX
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Zip | 75088-4557
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Country | US
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Telephone | 972-526-7900
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Fax | 972-526-7906
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Provider Business Mailing Address
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Address Line | PO BOX 1600
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City | ROCKWALL
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State | TX
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Zip | 75087-1600
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Country | US
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Telephone | 972-526-7900
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Fax | 972-526-7906
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Authorized Official
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Title or Position | BUSINESS MANGER
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Name | MR. RON OWENS
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Credential |
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Telephone | 972-526-7900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | J3710
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License Number State | TX
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