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General NPI Number Information
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NPI Number | 1649540691
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Entity Type | Individual
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Provider Name | ELIZABETH ANNE OWENS PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/09/2012
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Last Update Date | 01/09/2012
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Provider Practice Location Address
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Address Line | 11600 W 2ND PL
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City | LAKEWOOD
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State | CO
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Zip | 80228-1527
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Country | US
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Telephone | 970-668-8123
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Fax | 970-668-2844
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Provider Business Mailing Address
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Address Line | 550 S WADSWORTH BLVD SUITE 410
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City | LAKEWOOD
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State | CO
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Zip | 80226-3111
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Country | US
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Telephone | 303-202-1283
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Fax | 303-202-1281
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 3358
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License Number State | CO
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