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General NPI Number Information
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NPI Number | 1417942079
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Entity Type | Individual
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Provider Name | TIMOTHY JOSEPH BERTRAND PT
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Gender | Male
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1875 PLUMAS ST STE 4
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City | RENO
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State | NV
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Zip | 89509-3321
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Country | US
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Telephone | 775-826-2444
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Fax | 775-826-9669
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Provider Business Mailing Address
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Address Line | 1875 PLUMAS ST STE 4
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City | RENO
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State | NV
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Zip | 89509-3321
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Country | US
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Telephone | 775-826-2444
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Fax | 775-826-9669
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | NV340
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CA15893
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License Number State | CA
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