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General NPI Number Information
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NPI Number | 1124281431
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Entity Type | Individual
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Provider Name | TIMOTHY PETERSON LINDQUIST MD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2008
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Last Update Date | 04/10/2023
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Provider Practice Location Address
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Address Line | 2810 N LOOP 1604 W STE 200
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City | SAN ANTONIO
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State | TX
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Zip | 78248-2230
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Country | US
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Telephone | 210-822-9800
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Fax |
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Provider Business Mailing Address
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Address Line | 28735 PREAKNESS LN
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City | FAIR OAKS RANCH
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State | TX
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Zip | 78015-4837
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Country | US
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Telephone | 512-289-4337
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 9406986
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 2012022163
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | T7287
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License Number State | TX
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