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General NPI Number Information
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NPI Number | 1164965810
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Entity Type | Organization
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Legal Business Name | ANDREW N. TIMAR, DC LLC
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Dates
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Enumeration Date | 11/29/2016
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Last Update Date | 01/03/2017
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Provider Practice Location Address
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Address Line | 1220 VALLEY FORGE RD SUITE 5
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-2676
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Country | US
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Telephone | 484-924-8548
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Fax | 484-924-9748
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Provider Business Mailing Address
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Address Line | 1220 VALLEY FORGE RD SUITE 5
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-2676
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Country | US
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Telephone | 484-924-8548
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Fax | 484-924-9748
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | DR. ANDREW NICHOLAS TIMAR
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Credential | DC
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Telephone | 484-924-8548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC009207
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License Number State | PA
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