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NPI Code Detail

MEDICARE: ELIZABETH OWENS

MEDICARE: ELIZABETH OWENS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1184863177
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH OWENS
Provider Business Mailing Address
First Line : 1517 NE 11TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73117-2605
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1517 NE 11TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73117-2605
Country : US
Telephone Number : 405-230-1138
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2009
Last Update Date : 02/13/2009

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Directions to “ ELIZABETH OWENS ” Practice Location

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