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General NPI Number Information
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NPI Number | 1467985788
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Entity Type | Individual
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Provider Name | JOHN ELWOOD OWENS M.D., J.D.
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Gender | Male
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Dates
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Enumeration Date | 04/04/2017
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Last Update Date | 04/04/2017
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Provider Practice Location Address
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Address Line | 500 S COIT ST
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City | FLORENCE
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State | SC
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Zip | 29501-5221
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Country | US
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Telephone | 843-667-9947
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Fax | 843-667-0455
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Provider Business Mailing Address
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Address Line | 2482 TROTTER RD
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City | FLORENCE
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State | SC
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Zip | 29501-1950
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Country | US
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Telephone | 843-664-9787
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | MD 13023
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License Number State | SC
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