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General NPI Number Information
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NPI Number | 1700948791
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Entity Type | Individual
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Provider Name | PATRICIA L OWEN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 08/15/2018
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Provider Practice Location Address
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Address Line | 1430 BLUE OAKS BLVD
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City | ROSEVILLE
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State | CA
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Zip | 95747
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Country | US
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Telephone | 559-978-6606
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Fax |
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Provider Business Mailing Address
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Address Line | 5464 E SUNWOOD CT
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City | ROCKLIN
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State | CA
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Zip | 95677-3052
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Country | US
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Telephone | 559-978-6606
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY23163
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License Number State | CA
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