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NPI 1568768455

NPI 1568768455 : MICHAEL W OWENS MD : RENO, NV

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General NPI Number Information
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    NPI Number           |    1568768455
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    Entity Type          |    Individual 
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    Provider Name        |    MICHAEL W OWENS MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/10/2011
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    Last Update Date     |    02/11/2025
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Provider Practice Location Address
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    Address Line         |    790 WILLOW ST 
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    City                 |    RENO
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    State                |    NV
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    Zip                  |    89502-1304
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    Country              |    US
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    Telephone            |    775-888-6618
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    Fax                  |    775-470-6714
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Provider Business Mailing Address
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    Address Line         |    3325 RESEARCH WAY 
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    City                 |    CARSON CITY
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    State                |    NV
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    Zip                  |    89706-7913
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    Country              |    US
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    Telephone            |    702-220-9902
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    8611A
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    License Number State |    WY
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Taxonomy #2
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    15455
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    License Number State |    NV
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Taxonomy #3
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    15455
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    License Number State |    NV
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