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General NPI Number Information
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NPI Number | 1376678979
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Entity Type | Individual
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Provider Name | KATHY JOY TOWNLEY D.O., M.P.H.
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Gender | Female
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 25 N SPRUCE ST VETERAN'S ADMINISTRATION OUTPATIENT CLINIC
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City | COLORADO SPRINGS
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State | CO
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Zip | 80905-1436
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Country | US
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Telephone | 719-327-5660
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Fax |
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Provider Business Mailing Address
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Address Line | 593 FOREST VIEW WAY
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City | MONUMENT
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State | CO
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Zip | 80132-8266
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Country | US
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Telephone | 719-487-9419
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 460
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License Number State | NV
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