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General NPI Number Information
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NPI Number | 1538320163
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Entity Type | Organization
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Legal Business Name | WILLIAM W TOWNSEND OD PC
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Dates
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Enumeration Date | 06/17/2008
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Last Update Date | 02/07/2011
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Provider Practice Location Address
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Address Line | 4224 HOLLAND ROAD 108
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-1900
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Country | US
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Telephone | 757-463-0000
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Fax | 757-631-0260
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Provider Business Mailing Address
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Address Line | 4224 HOLLAND ROAD 108
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-1900
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Country | US
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Telephone | 757-463-0000
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Fax | 757-631-0260
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Authorized Official
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Title or Position | CEO
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Name | WILLIAM WALLACE TOWNSEND
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Credential | OD
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Telephone | 757-463-0000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618000189
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License Number State | VA
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