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General NPI Number Information
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NPI Number | 1538265186
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Entity Type | Individual
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Provider Name | ROBERT WILLIAM TOWNSEND PH.D., LPCC, LMSW
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Gender | Male
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 11/02/2024
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Provider Practice Location Address
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Address Line | 4273 MONTGOMERY BLVD NE STE 240-EAST
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-6748
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Country | US
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Telephone | 505-275-4971
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Fax | 505-299-6340
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Provider Business Mailing Address
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Address Line | 1225 LANDMAN DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-6066
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Country | US
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Telephone | 505-275-4971
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Fax | 505-299-6340
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | M-0450
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CCMH2830
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License Number State | NM
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