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General NPI Number Information
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NPI Number | 1467491506
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Entity Type | Individual
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Provider Name | TIMOTHY F DUER M.S.P.T.
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Gender | Male
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 11/18/2016
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Provider Practice Location Address
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Address Line | 1600 ROCKLAND RD
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City | WILMINGTON
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State | DE
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Zip | 19803-3607
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Country | US
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Telephone | 856-345-1057
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Fax | 856-345-1405
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Provider Business Mailing Address
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Address Line | 1280 ALMONESSON RD
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City | DEPTFORD
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State | NJ
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Zip | 08096
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Country | US
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Telephone | 856-345-1057
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Fax | 856-345-1405
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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 | 40QA01098600
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License Number State | NJ
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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 | J1-0002548
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT024895
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License Number State | PA
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