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General NPI Number Information
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NPI Number | 1780788166
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Entity Type | Organization
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Legal Business Name | STEPHEN F. OWEN
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 11/13/2007
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Provider Practice Location Address
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Address Line | 2133 S 20TH ST
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City | ABILENE
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State | TX
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Zip | 79605-6066
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Country | US
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Telephone | 325-690-9200
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Fax | 325-691-0845
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Provider Business Mailing Address
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Address Line | 2133 S 20TH ST
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City | ABILENE
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State | TX
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Zip | 79605-6066
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Country | US
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Telephone | 325-690-9200
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Fax | 325-691-0845
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Authorized Official
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Title or Position | OWNER/DIRECTOR OF SERVICES
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Name | MR. STEPHEN FRANK OWEN
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Credential | RPH
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Telephone | 325-690-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 0036526
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License Number State | TX
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