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General NPI Number Information
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NPI Number | 1346406998
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Entity Type | Organization
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Legal Business Name | TOWNSGATE ENTERPRISES LLC
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Dates
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Enumeration Date | 08/04/2008
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Last Update Date | 08/07/2008
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Provider Practice Location Address
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Address Line | 2900 TOWNSGATE RD STE 117
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-3001
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Country | US
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Telephone | 805-778-9272
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 TOWNSGATE RD STE 117
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-3001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | GORDON BENSON
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Credential |
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Telephone | 818-788-0915
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY49027
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License Number State | CA
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