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General NPI Number Information
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NPI Number | 1306855184
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Entity Type | Individual
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Provider Name | TIMOTHY C MCCOY 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 | 06/07/2024
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Provider Practice Location Address
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Address Line | 5900 E UNIVERSITY AVE STE 100
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City | PLEASANT HILL
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State | IA
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Zip | 50327-8467
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Country | US
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Telephone | 515-643-2400
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Fax | 515-643-4766
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Provider Business Mailing Address
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Address Line | PO BOX 1475
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City | DES MOINES
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State | IA
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Zip | 50305-1475
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Country | US
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Telephone | 515-643-2400
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Fax | 515-643-4766
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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 | 03107
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License Number State | IA
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