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General NPI Number Information
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NPI Number | 1477544807
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Entity Type | Organization
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Legal Business Name | TIMBERLINE RADIOLOGY PA
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Dates
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Enumeration Date | 11/03/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 24 PLEASANT ST SUITE 1A
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City | CONWAY
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State | NH
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Zip | 03818-6151
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Country | US
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Telephone | 603-860-8674
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Fax | 603-447-4310
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Provider Business Mailing Address
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Address Line | PO BOX 2048
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City | CONWAY
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State | NH
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Zip | 03818-2048
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Country | US
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Telephone | 160-386-0867
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Fax | 160-344-7431
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. CLAIRE PATRICIA MESERVE
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Credential |
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Telephone | 603-860-8674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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