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General NPI Number Information
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NPI Number | 1760397749
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Entity Type | Individual
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Provider Name | ABIGAIL GRACE TOWNSEND
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Gender | Female
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Dates
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Enumeration Date | 08/15/2026
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Last Update Date | 08/15/2026
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Provider Practice Location Address
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Address Line | 2121 US HIGHWAY 79 S
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City | HENDERSON
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State | TX
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Zip | 75654-4405
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Country | US
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Telephone | 903-657-2757
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Fax |
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Provider Business Mailing Address
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Address Line | 14401 COUNTY ROAD 173 N
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City | KILGORE
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State | TX
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Zip | 75662-1131
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Country | US
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Telephone | 903-424-5279
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 77666
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License Number State | TX
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