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General NPI Number Information
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NPI Number | 1326201757
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Entity Type | Individual
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Provider Name | TIMOTHY MAINARDI MD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2008
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 49 MURRAY ST
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City | NEW YORK
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State | NY
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Zip | 10007-2250
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Country | US
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Telephone | 201-693-6988
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Fax | 212-729-1783
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Provider Business Mailing Address
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Address Line | 49 MURRAY ST
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City | NEW YORK
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State | NY
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Zip | 10007-2250
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Country | US
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Telephone | 212-729-1283
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Fax | 866-419-6235
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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 | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | 257650
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License Number State | NY
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