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General NPI Number Information
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NPI Number | 1134255789
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Entity Type | Individual
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Provider Name | TIMOTHY RYAN CARLE M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 06/12/2014
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Provider Practice Location Address
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Address Line | 8601 16TH ST
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City | SILVER SPRING
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State | MD
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Zip | 20910-2261
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Country | US
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Telephone | 301-960-4682
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 759047
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City | BALTIMORE
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State | MD
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Zip | 21275-9047
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Country | US
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Telephone | 804-968-5700
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2005-01898
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 14188
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD.202899
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D0076832
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License Number State | MD
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