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NPI 1831591304

NPI 1831591304 : WARREN AND LINDA TOWNSEND LLC : KEMPNER, TX

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General NPI Number Information
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    NPI Number           |    1831591304
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    Entity Type          |    Organization 
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    Legal Business Name  |    WARREN AND LINDA TOWNSEND LLC 
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Dates
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    Enumeration Date     |    09/16/2014
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    Last Update Date     |    09/16/2014
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Provider Practice Location Address
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    Address Line         |    3276 ARISTA RUEDA 
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    City                 |    KEMPNER
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    State                |    TX
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    Zip                  |    76539
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    Country              |    US
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    Telephone            |    254-547-9802
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    Fax                  |    254-526-3949
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Provider Business Mailing Address
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    Address Line         |    3276 ARISTA RUEDA 
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    City                 |    KEMPNER
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    State                |    TX
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    Zip                  |    76539-7049
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    Country              |    US
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    Telephone            |    254-547-9802
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    Fax                  |    254-526-3949
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. WARREN  TOWNSEND 
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    Credential           |    LCSW
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    Telephone            |    254-547-9802
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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       |    01416
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    License Number State |    TX
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