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General NPI Number Information
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NPI Number | 1629338215
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Entity Type | Individual
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Provider Name | ANGELA MICHELLE TOWNE LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/17/2012
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Last Update Date | 05/17/2012
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Provider Practice Location Address
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Address Line | 370 CAMINO GARDENS BLVD STE 213
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City | BOCA RATON
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State | FL
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Zip | 33432-5818
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Country | US
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Telephone | 561-221-5696
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Fax |
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Provider Business Mailing Address
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Address Line | 14840 ENCLAVE LAKES DR APT C3
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City | DELRAY BEACH
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State | FL
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Zip | 33484-8813
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Country | US
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Telephone | 561-221-5696
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW 6685
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License Number State | FL
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