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General NPI Number Information
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NPI Number | 1245317585
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Entity Type | Individual
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Provider Name | DOUGLAS JOSEPH OWEN D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1909 E TULARE AVE
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City | TULARE
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State | CA
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Zip | 93274-3217
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Country | US
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Telephone | 559-688-2849
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Fax | 559-688-6960
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Provider Business Mailing Address
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Address Line | 1909 E TULARE AVE
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City | TULARE
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State | CA
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Zip | 93274-3217
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Country | US
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Telephone | 559-688-2849
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Fax | 559-688-6960
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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 | 111NX0100X
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Taxonomy Name | Occupational Health Chiropractor
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License Number | 20337
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License Number State | CA
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