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NPI 1740148899

NPI 1740148899 : SETH OWENS : FAYETTEVILLE, NC

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General NPI Number Information
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    NPI Number           |    1740148899
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    Entity Type          |    Individual 
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    Provider Name        |    SETH OWENS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/15/2026
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    Last Update Date     |    01/15/2026
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Provider Practice Location Address
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    Address Line         |    920 CAMBRIDGE ST 
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    City                 |    FAYETTEVILLE
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    State                |    NC
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    Zip                  |    28303-5300
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    Country              |    US
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    Telephone            |    910-493-3555
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1711 MIDDLE RD 
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    City                 |    EASTOVER
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    State                |    NC
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    Zip                  |    28312-9749
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    Country              |    US
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    Telephone            |    804-502-5979
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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        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    000044164627
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    License Number State |    NC
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