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General NPI Number Information
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NPI Number | 1720655178
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Entity Type | Organization
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Legal Business Name | OWEN MEDICAL SUPPLY
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Dates
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Enumeration Date | 06/04/2021
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Last Update Date | 07/13/2021
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Provider Practice Location Address
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Address Line | 265 WHITE BRIDGE PIKE STE 102
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City | NASHVILLE
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State | TN
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Zip | 37209-3205
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Country | US
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Telephone | 615-454-2955
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Fax | 615-600-5182
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Provider Business Mailing Address
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Address Line | 265 WHITE BRIDGE PIKE STE 102
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City | NASHVILLE
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State | TN
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Zip | 37209-3205
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Country | US
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Telephone | 615-454-2955
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Fax | 615-600-5182
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Authorized Official
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Title or Position | PRESIDENT
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Name | TONY MUYI OWEN
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Credential | OWNER
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Telephone | 615-406-1886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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