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General NPI Number Information
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NPI Number | 1538042320
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Entity Type | Individual
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Provider Name | CATHERINE ELIZABETH OWEN
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Gender | Female
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 12106 HIGHWAY 71 S STE A
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City | FORT SMITH
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State | AR
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Zip | 72916-8405
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Country | US
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Telephone | 479-431-8152
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Fax | 855-315-2928
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Provider Business Mailing Address
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Address Line | PO BOX 10864
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City | FORT SMITH
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State | AR
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Zip | 72917-0864
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Country | US
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Telephone | 479-431-8152
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Fax | 855-315-2928
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | A2507029
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License Number State | AR
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