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General NPI Number Information
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NPI Number | 1891749446
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Entity Type | Individual
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Provider Name | KRISTEN J TOWNLEY MD
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Gender | Female
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 06/28/2021
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Provider Practice Location Address
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Address Line | 2835 FORT MISSOULA RD BLDG 3
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City | MISSOULA
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State | MT
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Zip | 59804-7423
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Country | US
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Telephone | 406-721-5600
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Fax | 406-329-7192
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Provider Business Mailing Address
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Address Line | PO BOX 7609
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City | MISSOULA
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State | MT
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Zip | 59807-7609
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Country | US
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Telephone | 406-721-5600
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Fax | 406-721-3907
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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 | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | 10834
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 10834
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License Number State | MT
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