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General NPI Number Information
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NPI Number | 1437517869
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Entity Type | Individual
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Provider Name | STACEY OWENS-HOWARD
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Gender | Female
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Dates
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Enumeration Date | 01/30/2016
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Last Update Date | 08/03/2023
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Provider Practice Location Address
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Address Line | 1249 HARGETT ST
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City | JACKSONVILLE
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State | NC
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Zip | 28540-5934
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Country | US
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Telephone | 910-219-8603
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Fax | 910-378-7727
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Provider Business Mailing Address
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Address Line | 721 CHRISTINE AVE
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City | JACKSONVILLE
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State | NC
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Zip | 28540-6807
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Country | US
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Telephone | 910-219-8603
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Fax | 910-219-8604
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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