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General NPI Number Information
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NPI Number | 1003127572
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Entity Type | Individual
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Provider Name | TIMOTHY M RANKIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/29/2010
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 1652 TIBURON BLVD
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City | TIBURON
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State | CA
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Zip | 94920-2512
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Country | US
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Telephone | 415-727-9666
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 N CAMPBELL AVE DEPT OF SURGERY
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City | TUCSON
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State | AZ
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Zip | 85724-0001
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Country | US
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Telephone | 714-457-1786
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | A123407
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License Number State | CA
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