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General NPI Number Information
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NPI Number | 1316357502
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Entity Type | Individual
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Provider Name | TIMOTHY MAY
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Gender | Male
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Dates
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Enumeration Date | 04/28/2014
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Last Update Date | 04/28/2014
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Provider Practice Location Address
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Address Line | 85 MARSH RD
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City | PELHAM
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State | NH
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Zip | 03076-3134
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Country | US
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Telephone | 603-635-2115
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Fax |
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Provider Business Mailing Address
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Address Line | 16 MARIANNE DR
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City | PLAISTOW
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State | NH
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Zip | 03865-3133
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 0524
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 2490
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License Number State | MA
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