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General NPI Number Information
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NPI Number | 1528857364
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Entity Type | Individual
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Provider Name | ALEX JEROME TOWNSEND PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 2 SPLIT ROCK DR STE 11
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City | CHERRY HILL
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State | NJ
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Zip | 08003-1244
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Country | US
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Telephone | 856-428-1260
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Fax | 856-428-2313
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Provider Business Mailing Address
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Address Line | 3452 TUTTLEGROVE RD
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City | VINELAND
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State | NJ
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Zip | 08361-8702
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Country | US
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Telephone | 609-724-8654
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NJ15325700
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License Number State | NJ
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