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General NPI Number Information
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NPI Number | 1568772796
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Entity Type | Organization
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Legal Business Name | TOWNSEND PERSONAL CARE, INC.
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Dates
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Enumeration Date | 10/21/2010
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Last Update Date | 10/21/2010
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Provider Practice Location Address
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Address Line | 128 US HIGHWAY 12 E
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City | TOWNSEND
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State | MT
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Zip | 59644-9702
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Country | US
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Telephone | 406-266-3711
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Fax | 406-266-4484
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Provider Business Mailing Address
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Address Line | 128 US HIGHWAY 12 E
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City | TOWNSEND
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State | MT
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Zip | 59644-9702
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Country | US
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Telephone | 406-266-3711
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Fax | 406-233-4484
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Authorized Official
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Title or Position | PRESIDENT
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Name | JORGE MARCUZZI
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Credential |
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Telephone | 406-266-3711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 11962
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License Number State | MT
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