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General NPI Number Information
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NPI Number | 1588470371
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Entity Type | Individual
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Provider Name | CHARLENE SUZANNE TOWNSEND LMT, MMP
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Gender | Female
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 2404 S F ST STE C
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City | HARLINGEN
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State | TX
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Zip | 78552-7591
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Country | US
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Telephone | 956-622-3009
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Fax |
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Provider Business Mailing Address
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Address Line | 106 W NORTH LOOP BLVD UNIT B
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City | AUSTIN
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State | TX
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Zip | 78751-1918
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Country | US
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Telephone | 512-815-7516
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | LMT108555
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License Number State | TX
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