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NPI 1730716861

NPI 1730716861 : VIRGENAL LEE OWENS JR. MD : ROCHESTER, MN

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General NPI Number Information
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    NPI Number           |    1730716861
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    Entity Type          |    Individual 
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    Provider Name        |    VIRGENAL LEE OWENS JR. MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/26/2020
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    Last Update Date     |    09/25/2025
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Provider Practice Location Address
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    Address Line         |    200 1ST ST SW 
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    City                 |    ROCHESTER
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    State                |    MN
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    Zip                  |    55905-0001
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    Country              |    US
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    Telephone            |    507-284-2511
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    Fax                  |    507-284-0702
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Provider Business Mailing Address
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    Address Line         |    PO BOX 860912 
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    City                 |    MINNEAPOLIS
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    State                |    MN
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    Zip                  |    55486-0912
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    Country              |    US
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    Telephone            |    507-284-2511
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    Fax                  |    507-284-0702
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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        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    261050
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    207XS0117X
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    Taxonomy Name        |    Orthopaedic Surgery of the Spine Physician
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    License Number       |    79715
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    License Number State |    MN
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