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NPI 1497476824

NPI 1497476824 : MS. HARRIETT SALINA OWENS : ATLANTA, GA

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General NPI Number Information
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    NPI Number           |    1497476824
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    Entity Type          |    Individual 
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    Provider Name        |    MS. HARRIETT SALINA OWENS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/05/2022
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    Last Update Date     |    12/12/2025
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Provider Practice Location Address
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    Address Line         |    8735 DUNWOODY PL STE R 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30350-2995
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    Country              |    US
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    Telephone            |    404-301-8124
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8735 DUNWOODY PL STE R 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30350-2995
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    Country              |    US
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    Telephone            |    404-301-8124
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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        |    172A00000X
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    Taxonomy Name        |    Driver
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    License Number       |    057797673
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    License Number State |    GA
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