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General NPI Number Information
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NPI Number | 1255133856
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Entity Type | Organization
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Legal Business Name | MAMIE HEATHER OWENS, M.D., PLLC
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 9600 BAPTIST HEALTH DR STE 340
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City | LITTLE ROCK
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State | AR
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Zip | 72205-6322
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Country | US
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Telephone | 501-248-0200
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Fax | 501-248-0100
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Provider Business Mailing Address
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Address Line | 11001 EXECUTIVE CENTER DR STE 200
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City | LITTLE ROCK
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State | AR
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Zip | 72211-4393
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Country | US
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Telephone | 501-248-0200
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Fax | 501-248-0100
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Authorized Official
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Title or Position | OWNER
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Name | DR. MAMIE HEATHER OWENS
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Credential | M.D.
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Telephone | 501-248-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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