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General NPI Number Information
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NPI Number | 1427945526
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Entity Type | Individual
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Provider Name | OWEN COLAS
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Gender | Male
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 16 ARMORY ST STE 11
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City | NORTHAMPTON
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State | MA
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Zip | 01060-3857
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Country | US
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Telephone | 413-468-0754
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Fax |
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Provider Business Mailing Address
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Address Line | 45 CLAPP ST
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City | EASTHAMPTON
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State | MA
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Zip | 01027-9707
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Country | US
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Telephone | 734-678-7350
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW2120779
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License Number State | MA
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