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General NPI Number Information
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NPI Number | 1790167179
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Entity Type | Individual
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Provider Name | KELLY ANN OWENS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/23/2015
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Last Update Date | 06/23/2015
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Provider Practice Location Address
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Address Line | 981 W ELLIOT RD
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City | CHANDLER
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State | AZ
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Zip | 85225-1881
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Country | US
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Telephone | 480-821-2298
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Fax |
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Provider Business Mailing Address
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Address Line | 981 W ELLIOT RD
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City | CHANDLER
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State | AZ
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Zip | 85225-1881
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Country | US
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Telephone | 480-821-2298
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | S021092
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License Number State | AZ
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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 | 117315
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License Number State | MN
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