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General NPI Number Information
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NPI Number | 1477011500
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Entity Type | Individual
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Provider Name | TIMOTHY GRAHAM ZAMULINSKI MSN, AGACNP-BC, RN
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Gender | Male
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Dates
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Enumeration Date | 03/07/2019
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Last Update Date | 10/11/2023
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Provider Practice Location Address
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Address Line | 27800 HIGHWAY 290
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City | CYPRESS
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State | TX
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Zip | 77433-5302
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Country | US
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Telephone | 979-450-5220
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Fax |
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Provider Business Mailing Address
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Address Line | 16252 FAYETTE ST
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City | CONROE
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State | TX
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Zip | 77303-2010
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Country | US
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Telephone | 979-450-5220
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Fax |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP140873
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License Number State | TX
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