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General NPI Number Information
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NPI Number | 1356736102
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Entity Type | Individual
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Provider Name | GWENDOLYN TOWNSEND
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Gender | Female
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Dates
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Enumeration Date | 03/30/2015
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Last Update Date | 03/30/2015
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Provider Practice Location Address
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Address Line | 2 CENTERVIEW DR SUITE 103 PINEHURST BUILDING
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City | GREENSBORO
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State | NC
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Zip | 27407-3717
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Country | US
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Telephone | 336-547-8900
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Fax | 336-547-8877
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Provider Business Mailing Address
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Address Line | 2 CENTERVIEW DR SUITE 103 PINEHURST BUILDING
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City | GREENSBORO
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State | NC
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Zip | 27407-3717
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Country | US
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Telephone | 336-547-8900
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Fax | 336-547-8877
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | NC
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