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General NPI Number Information
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NPI Number | 1356342976
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Entity Type | Individual
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Provider Name | TIMOTHY J PIRNAT M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/04/2005
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Last Update Date | 07/29/2015
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Provider Practice Location Address
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Address Line | 12980 SABINA RD
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City | LEESBURG
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State | OH
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Zip | 45135-9578
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Country | US
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Telephone | 937-218-6635
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Fax | 888-422-2159
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Provider Business Mailing Address
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Address Line | PO BOX 347
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City | LEESBURG
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State | OH
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Zip | 45135-0347
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Country | US
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Telephone | 937-218-6635
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Fax | 888-422-2159
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 01074988A
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License Number State | IN
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