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NPI 1679569156

NPI 1679569156 : BEN E OWENS MD : JONESBORO, AR

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General NPI Number Information
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    NPI Number           |    1679569156
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    Entity Type          |    Individual 
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    Provider Name        |    BEN E OWENS MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/21/2005
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    Last Update Date     |    02/20/2017
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Provider Practice Location Address
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    Address Line         |    300 CARSON ST 
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    City                 |    JONESBORO
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    State                |    AR
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    Zip                  |    72401-3104
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    Country              |    US
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    Telephone            |    870-932-1198
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    Fax                  |    870-910-7700
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Provider Business Mailing Address
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    Address Line         |    300 CARSON ST 
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    City                 |    JONESBORO
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    State                |    AR
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    Zip                  |    72401-3104
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    Country              |    US
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    Telephone            |    870-932-1198
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    Fax                  |    870-910-7700
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    C6645
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    License Number State |    AR
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Taxonomy #2
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    Taxonomy Code        |    207RH0002X
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    Taxonomy Name        |    Hospice and Palliative Medicine (Internal Medicine) Physician
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    License Number       |    C6645
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    License Number State |    AR
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