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General NPI Number Information
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NPI Number | 1053755694
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Entity Type | Individual
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Provider Name | SARA MITTASCH TIMMERMANN M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/25/2013
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 551 HILL COUNTRY DR
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City | KERRVILLE
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State | TX
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Zip | 78028-6085
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Country | US
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Telephone | 830-896-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 7703 FLOYD CURL DR
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3901
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Country | US
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Telephone |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | R0047
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036172831
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License Number State | IL
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