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General NPI Number Information
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NPI Number | 1447987110
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Entity Type | Organization
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Legal Business Name | TIMOTHY FORD APRN, PLLC
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Dates
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Enumeration Date | 08/03/2022
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Last Update Date | 10/11/2023
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Provider Practice Location Address
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Address Line | 700 S ZARZAMORA ST STE 310
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City | SAN ANTONIO
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State | TX
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Zip | 78207-5249
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Country | US
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Telephone | 210-998-2240
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Fax | 210-616-2240
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Provider Business Mailing Address
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Address Line | 6756 STONYKIRK RD
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City | SAN ANTONIO
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State | TX
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Zip | 78240-2483
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Country | US
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Telephone |
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Fax | 210-616-2204
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DOLORES SERNA
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Credential |
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Telephone | 210-990-8779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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