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General NPI Number Information
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NPI Number | 1326254160
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Entity Type | Organization
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Legal Business Name | TIMOTHY P. BUMANN D.O. P.A.
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 10/16/2007
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Provider Practice Location Address
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Address Line | 6250 ANTILLEY RD ABILENE REGIONAL MEDICAL CENTER
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City | ABILENE
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State | TX
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Zip | 79606-5742
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Country | US
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Telephone | 325-428-2807
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Fax | 325-428-2819
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Provider Business Mailing Address
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Address Line | 2438 INDUSTRIAL BLVD PMB 105
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City | ABILENE
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State | TX
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Zip | 79605-7207
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Country | US
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Telephone | 325-428-2807
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Fax | 325-428-2819
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Authorized Official
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Title or Position | PHYSICIAN MANAGER
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Name | DR. TIMOTHY P BUMANN
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Credential | D.O.
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Telephone | 325-428-2807
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PE0005X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
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License Number | G7177
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License Number State | TX
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