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General NPI Number Information
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NPI Number | 1528537370
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Entity Type | Individual
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Provider Name | MS. DOROTHY M OWSLEY
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Gender | Female
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Dates
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Enumeration Date | 11/21/2018
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Last Update Date | 11/21/2018
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Provider Practice Location Address
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Address Line | 1729 PATTERSON AVE SW
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City | ROANOKE
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State | VA
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Zip | 24016-3105
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Country | US
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Telephone | 540-676-3318
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Fax | 540-400-6771
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Provider Business Mailing Address
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Address Line | 2711 BROOKLYN DR NW
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City | ROANOKE
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State | VA
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Zip | 24017-7011
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Country | US
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Telephone | 540-676-3318
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Fax | 540-676-3318
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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