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General NPI Number Information
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NPI Number | 1427850247
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Entity Type | Organization
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Legal Business Name | COWENS HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 200 RANKIN CIR
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City | MCDONOUGH
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State | GA
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Zip | 30253-8688
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Country | US
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Telephone | 770-728-3916
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Fax | 678-432-5594
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Provider Business Mailing Address
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Address Line | 200 RANKIN CIRCLE
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City | MCDONOUGH
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State | GA
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Zip | 30253-8688
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Country | US
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Telephone | 770-728-3916
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. CHRISTOPHER OSYTA IKEAKANAM
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Credential |
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Telephone | 770-728-3916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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