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General NPI Number Information
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NPI Number | 1689161960
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Entity Type | Individual
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Provider Name | KATELAND TOWNLEY MD
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Gender | Female
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Dates
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Enumeration Date | 04/22/2018
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Last Update Date | 12/07/2024
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Provider Practice Location Address
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Address Line | 1397 WEIMER RD
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City | TAOS
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State | NM
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Zip | 87571-6253
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Country | US
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Telephone | 575-758-8883
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1587
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City | EL PRADO
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State | NM
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Zip | 87529-1587
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Country | US
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Telephone | 406-579-9437
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 61585
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 177806
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD2023-1339
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License Number State | NM
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