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General NPI Number Information
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NPI Number | 1386889723
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Entity Type | Individual
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Provider Name | DR. TIMOTHY HAROLD PIERCE
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Gender | Male
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Dates
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Enumeration Date | 12/15/2008
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Last Update Date | 12/15/2008
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Provider Practice Location Address
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Address Line | 210 SANDERS ST
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City | ATHENS
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State | AL
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Zip | 35611-1420
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Country | US
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Telephone | 256-232-5221
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Fax | 256-232-5221
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Provider Business Mailing Address
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Address Line | POST OFFICE BOX 895
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City | FLORENCE
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State | AL
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Zip | 35631-0895
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Country | US
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Telephone | 256-394-3703
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Fax | 256-740-4768
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1025
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License Number State | AL
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