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General NPI Number Information
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NPI Number | 1962976548
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Entity Type | Individual
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Provider Name | MARY KATHRYN OWENS
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Gender | Female
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Dates
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Enumeration Date | 01/16/2019
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Last Update Date | 01/16/2019
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Provider Practice Location Address
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Address Line | 171 PINE ST
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City | HOLYOKE
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State | MA
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Zip | 01040-4065
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Country | US
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Telephone | 413-534-5631
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Fax | 413-536-9622
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Provider Business Mailing Address
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Address Line | 187 CENTRAL PARK DR
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City | HOLYOKE
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State | MA
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Zip | 01040-1307
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Country | US
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Telephone | 413-627-4478
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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