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General NPI Number Information
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NPI Number | 1104167071
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Entity Type | Individual
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Provider Name | DEIDRE TOWNSEND PD
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Gender | Female
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Dates
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Enumeration Date | 03/02/2013
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 321 W CALIFORNIA AVE
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City | RUSTON
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State | LA
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Zip | 71270-5042
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Country | US
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Telephone | 318-497-6232
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Fax | 318-497-6231
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Provider Business Mailing Address
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Address Line | 321 W CALIFORNIA AVE
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City | RUSTON
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State | LA
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Zip | 71270-5042
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Country | US
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Telephone | 318-497-6232
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Fax | 318-497-6231
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | C07986
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PD07986
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PST.024991
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License Number State | LA
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