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General NPI Number Information
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NPI Number | 1760986459
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Entity Type | Individual
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Provider Name | WILLIAM CLAYTON OWENS DPT
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Gender | Male
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Dates
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Enumeration Date | 03/19/2018
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Last Update Date | 03/19/2018
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Provider Practice Location Address
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Address Line | 34 WHITE BRIDGE RD
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City | NASHVILLE
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State | TN
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Zip | 37205-1473
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Country | US
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Telephone | 615-353-6181
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Fax |
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Provider Business Mailing Address
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Address Line | 512 OLD HICKORY BLVD APT 1517
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City | NASHVILLE
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State | TN
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Zip | 37209-5197
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Country | US
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Telephone | 270-316-7636
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 0000011439
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License Number State | TN
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