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General NPI Number Information
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NPI Number | 1750181459
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Entity Type | Individual
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Provider Name | KEVIN RICHARD OWENS JR. PMHNP-BC, MSN
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Gender | Male
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 07/26/2025
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Provider Practice Location Address
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Address Line | 1017 TURNPIKE ST STE 32A
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City | CANTON
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State | MA
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Zip | 02021-2853
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Country | US
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Telephone | 781-236-7343
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Fax |
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Provider Business Mailing Address
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Address Line | 42 BOYDEN RD
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City | HOLDEN
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State | MA
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Zip | 01520-2514
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Country | US
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Telephone | 774-641-9410
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN2325346
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN2325346
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License Number State | MA
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