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General NPI Number Information
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NPI Number | 1891589966
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Entity Type | Individual
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Provider Name | OWEN FRANCIS FLYNN
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Gender | Male
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Dates
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Enumeration Date | 04/05/2025
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Last Update Date | 04/05/2025
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Provider Practice Location Address
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Address Line | 109 GENESEE ST
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City | ONEIDA
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State | NY
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Zip | 13421-2703
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Country | US
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Telephone | 315-231-5530
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Fax |
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Provider Business Mailing Address
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Address Line | 128 RICHMOND CIR
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City | CHITTENANGO
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State | NY
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Zip | 13037-9442
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Country | US
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Telephone | 315-383-9484
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F04240025
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License Number State | NY
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