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General NPI Number Information
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NPI Number | 1639353642
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Entity Type | Organization
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Legal Business Name | HAROLD W OWENS, M.D.
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 07/24/2008
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Provider Practice Location Address
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Address Line | 109 CAROLINE ST.
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City | IRVINGTON
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State | KY
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Zip | 40146-0367
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Country | US
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Telephone | 270-547-2011
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Fax | 270-547-2031
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Provider Business Mailing Address
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Address Line | PO BOX 367
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City | IRVINGTON
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State | KY
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Zip | 40146-0367
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Country | US
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Telephone | 270-547-2011
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Fax | 270-547-2031
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Authorized Official
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Title or Position | MD/OWNER
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Name | HAROLD WILBUR OWENS
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Credential | M.D.
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Telephone | 270-547-2011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 13345
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License Number State | KY
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