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General NPI Number Information
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NPI Number | 1316831241
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Entity Type | Individual
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Provider Name | MORGAN LEE OWENS-LEWIS PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 611 MORGANTON SQUARE DR
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City | MARYVILLE
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State | TN
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Zip | 37801-4763
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Country | US
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Telephone | 866-231-0701
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Fax |
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Provider Business Mailing Address
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Address Line | 933 NAOMI DR
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City | MARYVILLE
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State | TN
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Zip | 37804-5254
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Country | US
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Telephone | 865-235-3101
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 6594
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License Number State | TN
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