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General NPI Number Information
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NPI Number | 1154943660
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Entity Type | Organization
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Legal Business Name | TIMOTHY M. VEAL, M.D. INC.
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Dates
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Enumeration Date | 05/07/2020
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Last Update Date | 05/07/2020
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Provider Practice Location Address
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Address Line | 4225 EXECUTIVE SQ STE 600
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City | LA JOLLA
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State | CA
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Zip | 92037-1484
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Country | US
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Telephone | 858-997-1397
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Fax | 858-367-5516
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Provider Business Mailing Address
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Address Line | 4225 EXECUTIVE SQ STE 600
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City | LA JOLLA
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State | CA
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Zip | 92037-1484
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Country | US
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Telephone | 858-997-1397
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Fax | 858-367-5516
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TIMOTHY M VEAL
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Credential | MD
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Telephone | 858-997-1397
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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