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General NPI Number Information
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NPI Number | 1740079979
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Entity Type | Individual
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Provider Name | MIDIAN TOWNSEND FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 100 WOODS RD
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City | VALHALLA
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State | NY
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Zip | 10595-1530
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Country | US
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Telephone | 914-493-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 319 BURROUGHS LN
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City | NEW WINDSOR
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State | NY
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Zip | 12553-6402
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Country | US
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Telephone | 646-842-0474
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 794942-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 357351
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License Number State | NY
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