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General NPI Number Information
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NPI Number | 1912711367
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Entity Type | Individual
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Provider Name | NICOLAS AARON TOWNSEND
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Gender | Male
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 185 S MAIN ST
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City | MILAN
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State | OH
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Zip | 44846-9765
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Country | US
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Telephone | 419-499-2576
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Fax |
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Provider Business Mailing Address
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Address Line | 1210 PELTON PARK LN
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City | SANDUSKY
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State | OH
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Zip | 44870-7082
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Country | US
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Telephone | 330-275-4691
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | RN.453643
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License Number State | OH
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