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NPI 1164463683

NPI 1164463683 : NORA ELSIE TOWNSEND D.D.S. : AMHERST, NY

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General NPI Number Information
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    NPI Number           |    1164463683
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    Entity Type          |    Individual 
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    Provider Name        |    NORA ELSIE TOWNSEND D.D.S.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/08/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    646 N FRENCH RD SUITE 8
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    City                 |    AMHERST
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    State                |    NY
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    Zip                  |    14228-2100
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    Country              |    US
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    Telephone            |    716-691-3520
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    Fax                  |    716-691-3742
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Provider Business Mailing Address
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    Address Line         |    150 HIGH PARK BLVD 
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    City                 |    AMHERST
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    State                |    NY
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    Zip                  |    14226-4274
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    Country              |    US
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    Telephone            |    716-833-6756
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    037388
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    License Number State |    NY
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