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General NPI Number Information
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NPI Number | 1871710145
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Entity Type | Organization
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Legal Business Name | OWENS CHIROPRACTIC PHYSICIANS, P.C.
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1112 FARMINGTON AVE
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City | WEST HARTFORD
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State | CT
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Zip | 06107-2163
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Country | US
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Telephone | 860-232-3111
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Fax | 860-521-1683
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Provider Business Mailing Address
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Address Line | 1112 FARMINGTON AVE
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City | WEST HARTFORD
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State | CT
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Zip | 06107-2163
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Country | US
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Telephone | 860-232-3111
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Fax | 860-521-1683
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEPHEN EMMETT OWENS
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Credential | D.C.
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Telephone | 860-232-3111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | 00067
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License Number State | CT
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