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General NPI Number Information
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NPI Number | 1336283845
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Entity Type | Organization
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Legal Business Name | JANET TOWNSLEY
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1152 OCEAN BLVD
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City | MOUNTAIN VIEW
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State | AR
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Zip | 72560-8320
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Country | US
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Telephone | 870-269-7529
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Fax | 870-269-2840
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Provider Business Mailing Address
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Address Line | 1152 OCEAN BLVD
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City | MOUNTAIN VIEW
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State | AR
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Zip | 72560-8320
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Country | US
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Telephone | 870-269-3567
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAN TOWNSLEY
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Credential | OTRL
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Telephone | 870-269-3567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number | OTR439
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License Number State | AR
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