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General NPI Number Information
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NPI Number | 1194408609
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Entity Type | Organization
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Legal Business Name | TIMOTHY JANZ MD LLC
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Dates
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Enumeration Date | 08/10/2023
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Last Update Date | 08/10/2023
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Provider Practice Location Address
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Address Line | 522 E MARION AVE
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City | PUNTA GORDA
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State | FL
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Zip | 33950-3803
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Country | US
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Telephone | 941-505-6033
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Fax |
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Provider Business Mailing Address
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Address Line | 522 E MARION AVE
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City | PUNTA GORDA
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State | FL
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Zip | 33950-3803
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Country | US
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Telephone | 941-505-6033
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TIMOTHY JANZ
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Credential | MD
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Telephone | 941-637-1119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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