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NPI 1215946355

NPI 1215946355 : TIMOTHY F DOWLING DO : SAINT HELENA, CA

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General NPI Number Information
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    NPI Number           |    1215946355
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    Entity Type          |    Individual 
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    Provider Name        |    TIMOTHY F DOWLING DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/07/2006
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    Last Update Date     |    06/21/2022
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Provider Practice Location Address
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    Address Line         |    1222 PINE ST STE A 
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    City                 |    SAINT HELENA
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    State                |    CA
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    Zip                  |    94574-1830
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    Country              |    US
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    Telephone            |    707-963-0931
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    Fax                  |    707-254-1779
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Provider Business Mailing Address
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    Address Line         |    1310 CLUB DR STE 109 
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    City                 |    VALLEJO
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    State                |    CA
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    Zip                  |    94592-1189
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    Country              |    US
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    Telephone            |    
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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       |    C20004476
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    License Number State |    DE
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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       |    18094
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    License Number State |    CA
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