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General NPI Number Information
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NPI Number | 1447242193
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Entity Type | Individual
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Provider Name | KELLY J TOWNE DC
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Gender | Male
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 07/05/2024
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Provider Practice Location Address
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Address Line | 700 HWY 69 S
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City | NEW GLARUS
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State | WI
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Zip | 53574-0396
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Country | US
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Telephone | 608-527-2715
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Fax | 608-527-5796
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Provider Business Mailing Address
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Address Line | 105 CLARMAR DR
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City | SUN PRAIRIE
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State | WI
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Zip | 53590-2675
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Country | US
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Telephone | 608-318-5929
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Fax | 608-318-5922
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2666
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License Number State | WI
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