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NPI 1306068911

NPI 1306068911 : TOWNSON'S PROSTHETICS : TUCSON, AZ

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General NPI Number Information
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    NPI Number           |    1306068911
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    Entity Type          |    Organization 
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    Legal Business Name  |    TOWNSON'S PROSTHETICS 
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Dates
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    Enumeration Date     |    05/03/2007
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    Last Update Date     |    12/13/2007
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Provider Practice Location Address
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    Address Line         |    3855 N. ORACLE RD. 
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85705
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    Country              |    US
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    Telephone            |    520-888-1334
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    Fax                  |    520-887-5901
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Provider Business Mailing Address
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    Address Line         |    3855 N. ORACLE RD. 
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85705
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    Country              |    US
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    Telephone            |    520-888-1334
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    Fax                  |    520-887-5901
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Authorized Official
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    Title or Position    |    PARTNER
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    Name                 |     THOMAS RAYBERN TOWNSON 
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    Credential           |    
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    Telephone            |    520-888-1334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    335E00000X
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    Taxonomy Name        |    Prosthetic/Orthotic Supplier
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    License Number       |    0193252
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    License Number State |    AZ
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