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General NPI Number Information
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NPI Number | 1962208116
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Entity Type | Individual
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Provider Name | JANEAH C OWENS
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Gender | Female
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 402 YAUGER WAY SW
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City | OLYMPIA
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State | WA
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Zip | 98502-8660
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Country | US
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Telephone | 360-968-3744
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Fax |
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Provider Business Mailing Address
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Address Line | 8635 LITT DR SE APT 101
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City | LACEY
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State | WA
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Zip | 98516-4697
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Country | US
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Telephone | 360-813-8621
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State | WA
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