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General NPI Number Information
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NPI Number | 1104837558
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Entity Type | Individual
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Provider Name | TIMOTHY PATRICK QUINN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 02/03/2011
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Provider Practice Location Address
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Address Line | 2350 MIAMI VALLEY DR SUITE 320
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City | CENTERVILLE
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State | OH
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Zip | 45459
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Country | US
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Telephone | 937-433-5309
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Fax | 937-433-1340
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Provider Business Mailing Address
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Address Line | 6490 CENTERVILLE BUSINESS PKWY
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City | CENTERVILLE
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State | OH
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Zip | 45459
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Country | US
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Telephone | 937-433-5309
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Fax | 937-433-1340
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 35-04-1362-Q
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License Number State | OH
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