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Individual
DODI OWENS
Active
Individual
DODI OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
305913
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402322-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06801303
—
NY
Enumeration date
02/27/2012
Last updated
09/17/2026
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