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General NPI Number Information
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NPI Number | 1467572412
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Entity Type | Individual
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Provider Name | DARCY LYNN OWEN D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 02/08/2013
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Provider Practice Location Address
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Address Line | 7916 PEBBLE BEACH DR SUITE 101
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City | CITRUS HEIGHTS
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State | CA
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Zip | 95610-7790
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Country | US
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Telephone | 916-962-0577
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Fax |
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Provider Business Mailing Address
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Address Line | 1509 SHERWOOD AVE
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City | SACRAMENTO
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State | CA
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Zip | 95822-1242
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Country | US
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Telephone | 916-529-6473
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 47402
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License Number State | CA
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