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General NPI Number Information
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NPI Number | 1508073677
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Entity Type | Individual
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Provider Name | TIMOTHY ALAN JENSEN RPA-C
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Gender | Male
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 02/14/2013
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Provider Practice Location Address
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Address Line | 5149 SAGE TER
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City | CANANDAIGUA
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State | NY
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Zip | 14424-8243
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Country | US
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Telephone | 585-394-1007
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Fax |
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Provider Business Mailing Address
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Address Line | 5149 SAGE TER
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City | CANANDAIGUA
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State | NY
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Zip | 14424-8243
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Country | US
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Telephone | 585-394-1007
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 015046
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License Number State | NY
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