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General NPI Number Information
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NPI Number | 1740974534
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Entity Type | Individual
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Provider Name | MADELINE JEAN OWENS
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Gender | Female
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Dates
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Enumeration Date | 06/06/2023
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Last Update Date | 08/03/2025
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Provider Practice Location Address
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Address Line | 2280 MARCOLA RD
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City | SPRINGFIELD
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State | OR
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Zip | 97477-2594
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Country | US
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Telephone | 541-747-4300
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Fax |
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Provider Business Mailing Address
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Address Line | 729 50TH AVE
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City | SWEET HOME
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State | OR
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Zip | 97386-3209
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Country | US
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Telephone | 541-248-1559
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | PI-0013933
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0020228
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License Number State | OR
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