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General NPI Number Information
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NPI Number | 1356215909
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Entity Type | Individual
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Provider Name | ELIZABETH LEE OWOC
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Gender | Female
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 379 NEW MARKET BLVD STE 401
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City | BOONE
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State | NC
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Zip | 28607-3765
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Country | US
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Telephone | 412-952-5191
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Fax |
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Provider Business Mailing Address
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Address Line | 265 TERRACE LN APT 6304
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City | BOONE
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State | NC
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Zip | 28607-6174
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Country | US
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Telephone | 412-952-5191
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 2287
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License Number State | NC
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