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General NPI Number Information
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NPI Number | 1487204020
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Entity Type | Individual
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Provider Name | LAURIE ANN TOWNSLEY AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/16/2019
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Last Update Date | 12/21/2023
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Provider Practice Location Address
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Address Line | 2520 ROBERT JONES WAY
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City | KALAMAZOO
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State | MI
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Zip | 49009-1904
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Country | US
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Telephone | 269-552-0420
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Fax |
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Provider Business Mailing Address
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Address Line | 29956 COUNTY ROAD 390
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City | GOBLES
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State | MI
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Zip | 49055-9260
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Country | US
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Telephone | 269-271-1426
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 4704188920
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License Number State | MI
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